| NPI | 1912045923 |
|---|---|
| Doing Business As | ACTIVE WAY |
| Entity Type | Organization |
| Authorized Contact | RANDY LAWSON President CEO 309-693-7665 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010253) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-16 |