# IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iroquois Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366447617
- **Authorized official:** MICHAEL TILSTRA (CEO)
- **Authorized official phone:** (815) 432-7777

## Contact information

- **Practice address:** 200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
- **Practice address phone:** (815) 432-6175
- **Practice address fax:** (815) 432-6199
- **Mailing address:** 200 LAIRD LN, WATSEKA, IL 60970-7568
- **Mailing address phone:** (815) 432-6175
- **Mailing address fax:** (815) 432-6199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1006881 | IL | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 10/08/2024