NPI | 1376868075 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNISE TAYLOR Speech Language Pathologist/Owner 800-430-8150 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 057.003214) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |