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Organization
CALVARY ELDERLY HOME HELP PROGRAM
Active
Organization
CALVARY ELDERLY HOME HELP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA MARIE ASHMORE (SERVICE MANGER)
(309) 676-7199
Entity
Organization
Contact information
Practice address
1709 W LINCOLN AVE, PEORIA, IL 61605
(309) 673-1709
(309) 676-7193
Mailing address
1709 W LINCOLN, PEORIA, IL 61605
(309) 673-1709
(309) 676-7193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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