NPI | 1891084596 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA A FLEEGE Agency Supervisor/Clinical Manager 815-777-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011511) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: IL 4000364) |
253Z00000X In Home Supportive Care (Licence: IL 3000821) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2022-02-10 |