NPI | 1104906767 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHEA M. LAGESSE Executive Director 815-936-3370 |
Organization Subpart ? | No |
Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: IL 2000420) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |