| NPI | 1801890892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNE NOEL Executive Director 563-582-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 2001618) |
| 251G00000X Hospice Care, Community Based (Licence: WI 562) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-05-03 |