| NPI | 1902453459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEKIME FEEZOR-BRANCH Administrator/Owner 309-750-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |