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Organization
LIFE HOME HEALTH CARE INC. OF SOUTHERN ILLINOIS
Active
Organization
LIFE HOME HEALTH CARE INC. OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRYSTAL BERNADETTE BUENAFLOR (PRESIDENT)
(618) 751-4779
Entity
Organization
Contact information
Practice address
4503 W DEYOUNG ST. SUITE 203C, MARION, IL 62959
(618) 751-4779
Mailing address
4503 W. DEYOUNG ST. SUITE 203C MAILBOX # 4, MARION, IL 62959
(618) 751-4779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011463
IL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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