| NPI | 1720520851 |
|---|---|
| Former Legal Business Name | RESTORING LIVES, PERSONAL CARE AGENCY LLC |
| Entity Type | Organization |
| Authorized Contact | CAROLYN L BENNETT-CRITE Owner / Administrator 815-944-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |