| NPI | 1912145152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRONILO BANATIN ALDEZA President 815-277-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 041212612) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 041219995) |
| 251E00000X Home Health (Licence: IL 041204358) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2011-07-28 |