NPI | 1861203416 |
---|---|
Other Name | LOVE TO LIFE |
Entity Type | Organization |
Authorized Contact | BENITRA FAIR Manager 815-981-0566 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |