| NPI | 1215703707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN JAMES TEATOR Administrator 815-534-1608 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-02-24 |