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Organization
CARETENDERS VISITING SERVICES OF SOUTHERN ILLINOIS, LLC
Active
Organization
CARETENDERS VISITING SERVICES OF SOUTHERN ILLINOIS, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS MACIP (CHIEF ADMINISTRATIVE OFFICER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
141 MARKET PL STE 110, FAIRVIEW HEIGHTS, IL 62208-2034
(618) 277-8899
(618) 277-8628
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/06/2006
Last updated
04/10/2023
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