Private Home Care of Illinois LLC

NPI #1346073152 in Alton, Illinois

Provider Information

NPI Number
1346073152
Entity Type
Organization
Organization Name
Private Home Care of Illinois LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Aug 26, 2024
Last Updated
Aug 26, 2024

Practice Location

Address
111 E 4TH ST STE 110
City
Alton
ZIP Code
62002-6206
Phone
(618) 558-5299

Authorized Official

Name
CAMILLE HAMMERS
Title
CONTROLLER
Phone
(618) 713-1268

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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