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Organization
BRANCHING OFF, INC
Active
Organization
BRANCHING OFF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEKIME FEEZOR-BRANCH (ADMINISTRATOR/OWNER)
(309) 750-0558
Entity
Organization
Contact information
Practice address
303 N HERSHEY RD STE B, BLOOMINGTON, IL 61704-7720
(309) 808-4409
Mailing address
303 N HERSHEY RD STE B, BLOOMINGTON, IL 61704-7720
(309) 808-4409
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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