Src, LP

NPI #1003144791 in Galesburg, Illinois

Provider Information

NPI Number
1003144791
Entity Type
Organization
Organization Name
Src, LP
Primary Specialty
Home Health
Enumeration Date
Nov 18, 2009
Last Updated
Dec 3, 2010

Practice Location

Address
311 E MAIN ST
Address 2
SUITE 202
ZIP Code
61401-4855
Phone
(309) 228-4222

Authorized Official

Name
JEFFREY ADAM SALTER
Title
PRESIDENT
Phone
(210) 757-4650

Specialties & Taxonomy Codes

Specialty
Home Health

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