NPI | 1710969563 |
---|---|
Other Name | ST. JOHN'S HOME INFUSION PROGRAM |
Entity Type | Organization |
Authorized Contact | MARK DUANE EVARD VP Of Revenue Cycle 217-492-9651 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251F00000X Home Infusion (Licence: IL 093013360) |
Additional Taxonomies | 251F00000X Home Infusion (Licence: IL 032006022) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2024-08-14 |