| 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 |