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Organization
INSTITUTE OF FAMILY CARE
Active
Organization
INSTITUTE OF FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA BUCHANAN (CEO)
(815) 608-3041
Entity
Organization
Contact information
Practice address
809 CEDAR ST, ROCKFORD, IL 61102-2951
(815) 608-3041
Mailing address
809 CEDAR ST, ROCKFORD, IL 61102-2951
(815) 608-3041
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
IL
251B00000X
Case Management Agency
Primary
—
IL
251E00000X
Home Health Agency
—
IL
302R00000X
Health Maintenance Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
374U00000X
Home Health Aide
—
IL
376J00000X
Homemaker
—
IL
Other
Enumeration date
08/20/2015
Last updated
11/10/2015
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