NPI | 1295781557 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLEY J LARSON Executive Director 815-338-1707 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1747736) |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2006-05-26 |
Last Update Date | 2008-04-20 |