| 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 |