Springfield Illinois Homecare LLC
NPI #1376166637 in Springfield, Illinois
Provider Information
- NPI Number
- 1376166637
- Entity Type
- Organization
- Organization Name
- Springfield Illinois Homecare LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- May 21, 2020
- Last Updated
- Aug 17, 2023
Practice Location
- Address
- 2731 S MACARTHUR BLVD STE 201
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5081
- Phone
- (217) 299-2928
Authorized Official
- Name
- MR. ROD A LANE, MBA
- Title
- OWNER/EXECUTIVE DIRECTOR
- Phone
- (217) 299-2928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
| In Home Supportive Care |
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