| NPI | 1558648998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITY SKATES Administrator 815-625-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000126) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 4000111) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |