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Organization
FAYETTE COUNTY
Active
Organization
FAYETTE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA ANDREWS (ADMINISTRATOR)
(618) 283-1044
Entity
Organization
Contact information
Practice address
416 W EDWARDS ST, VANDALIA, IL 62471-2706
(618) 283-7262
(618) 283-5039
Mailing address
416 W EDWARDS ST, VANDALIA, IL 62471-2706
(618) 283-1044
(618) 283-5038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1625062
IL
251G00000X
Community Based Hospice Care Agency
1863108
IL
Other
Enumeration date
07/22/2005
Last updated
02/02/2017
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