# FAYETTE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174523914
- **Authorized official:** MRS. RHONDA ANDREWS (ADMINISTRATOR)
- **Authorized official phone:** (618) 283-1044

## Contact information

- **Practice address:** 416 W EDWARDS ST, VANDALIA, IL 62471-2706
- **Practice address phone:** (618) 283-7262
- **Practice address fax:** (618) 283-5039
- **Mailing address:** 416 W EDWARDS ST, VANDALIA, IL 62471-2706
- **Mailing address phone:** (618) 283-1044
- **Mailing address fax:** (618) 283-5038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1625062 | IL | Yes |
| 251G00000X | Community Based Hospice Care Agency | 1863108 | IL | — |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 02/02/2017