| NPI | 1639490568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY CARROLL Records Clerk 217-824-4905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-11-09 |