| NPI | 1558683961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D STROUD Occupational Therapist 618-791-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 056006684) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |