| NPI | 1700196995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL UDONKANG Administrator 815-932-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-09-01 |