| NPI | 1609223668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GARDNER CFO 815-927-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 199100088C) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |