| NPI | 1821402009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA M CARMICHAEL Administrator/ Owner 815-995-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 140134002) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |