| NPI | 1992648794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAQUICIA LESLIE WARD President Of Operations 815-782-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 172A00000X Driver | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-04-21 |