| NPI | 1174523914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ANDREWS Administrator 618-283-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1625062) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 1863108) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2017-02-02 |