| NPI | 1306397211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO VILCHIS Agency Administrator 815-558-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000124) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-09-29 |