| NPI | 1700131547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN DENNIS ROSALES Clinical Operations Executive 815-272-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 20111674892) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-08-27 |