| NPI | 1881091213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANDI JO JENKINS Executive Director 779-774-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 3000912) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2016-08-19 |