| NPI | 1750704573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SIMON-LEE President RN 5633-700-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: IA 121791) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IA 121791) |
| 251G00000X Hospice Care, Community Based (Licence: IL 041369832) | |
| 251J00000X Nursing Care (Licence: IL 04136832) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-02-03 |