Active Home Healthcare INC
NPI #1215601976 in Bloomington, Illinois
Provider Information
- NPI Number
- 1215601976
- Entity Type
- Organization
- Organization Name
- Active Home Healthcare INC
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Aug 5, 2021
- Last Updated
- Aug 5, 2021
Practice Location
- Address
- 2108 ALTOONA RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61705-4143
- Phone
- (309) 838-5772
Authorized Official
- Name
- WYNDY JENKINS
- Title
- PRESIDENT/CEO
- Phone
- (309) 838-5772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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