| NPI | 1790923506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY D MITAL CEO/President 563-289-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000309) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |