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Organization
SENIOR AND CHILD HOMECARE SVC
Active
Organization
SENIOR AND CHILD HOMECARE SVC
Active
Other names
Senior Staffing Care providers
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DORRIS (PRESIDENT/OWNER)
(217) 351-2064
Entity
Organization
Contact information
Practice address
10 HENSON PL, SUITE 4, CHAMPAIGN, IL 61820-7836
(217) 621-8251
(217) 355-3444
Mailing address
#10 HESIN PLACE, SUITE 4, CHAMPAIGN, IL 61821-6830
(217) 621-8251
(217) 355-3444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
IL
Other
Enumeration date
12/24/2007
Last updated
08/25/2008
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