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Organization
LILLIE'S CIRCLE OF CARE
Active
Organization
LILLIE'S CIRCLE OF CARE
Active
Other names
Lillie's Care Circle, Lillie's Circle of Care
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE LA VERNE KIZZIE-GILLETT ML (PRESIDENT)
(323) 447-6718
Entity
Organization
Contact information
Practice address
1355 LONG BOAT KEY LN, ELGIN, IL 60120-7589
(323) 447-6718
Mailing address
1355 LONG BOAT KEY LN, ELGIN, IL 60120-7589
(323) 447-6718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/16/2018
Last updated
09/16/2018
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