| NPI | 1336510296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M STONE-CASPER Administrator 618-742-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 041434885) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |