| NPI | 1417239237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL BERNADETTE BUENAFLOR President 618-751-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011463) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |