NPI | 1649270729 |
---|---|
Entity Type | Organization |
Authorized Contact | DOULGAS KING Public Health Administrator 618-498-9565 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1001577) |
Additional Taxonomies | 251K00000X Public Health or Welfare |
261QH0100X Clinic/Center Health Service | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2022-04-14 |