| NPI | 1114144524 |
|---|---|
| Former Legal Business Name | HOMEBORN HEALTH, INC. |
| Entity Type | Organization |
| Authorized Contact | JUDITH CAROL WRZESINSKI President 815-218-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 286113) |
| 251J00000X Nursing Care (Licence: IL 209-003484) | |
| 251J00000X Nursing Care (Licence: IL 209-003485) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-05-29 |