| NPI | 1366250961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEATICIA NZUZI Director Of Operations 309-501-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 251J00000X Nursing Care | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |