| NPI | 1649062522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABALA KOMA TASSIKE Director 309-644-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |