| NPI | 1992500698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFIA BRUCE Member 309-532-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-03-14 |