# ASSISTEDCARE GROUP

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

## Provider details

- **NPI number:** 1639494271
- **Authorized official:** LESLIE D POWELL O.T. (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (618) 841-3232

## Contact information

- **Practice address:** 2410 HILLCREST ST, HARRISBURG, IL 62946-3869
- **Practice address phone:** (618) 841-3232
- **Mailing address:** 2410 HILLCREST ST, HARRISBURG, IL 62946-3869
- **Mailing address phone:** (618) 841-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056006921 | IL | Yes |

## Other

- **Enumeration date:** 04/06/2010
- **Last updated:** 04/06/2010