| NPI | 1821153057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO QUERUBIN Administrator 847-228-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 2002301) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-11-13 |