| NPI | 1447626726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA BUCHANAN CEO 815-608-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 347B00000X Bus | |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 172A00000X Driver | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-11-10 |