Interim Healthcare of Downstate Illinois

NPI #1174274237 in Peoria, Illinois

Provider Information

NPI Number
1174274237
Entity Type
Organization
Organization Name
Interim Healthcare of Downstate Illinois
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 11, 2022
Last Updated
Jan 11, 2022

Practice Location

Address
1223 W PIONEER PKWY
City
Peoria
ZIP Code
61615-1936
Phone
(309) 296-0056

Authorized Official

Name
MR. KYLE COLGAN, RN
Title
CLINICAL SUPERVISOR
Phone
(309) 696-3822

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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