| NPI | 1982050811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T LANE Owner/Manager 815-838-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000141) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |