# COUNTY OF JO DAVIESS

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

## Provider details

- **NPI number:** 1982605135
- **Authorized official:** ELIZABETH KANE MPA (ADMINISTRATOR)
- **Authorized official phone:** (815) 777-0263

## Contact information

- **Practice address:** 9483 W US 20, GALENA, IL 61036-9182
- **Practice address phone:** (815) 777-1040
- **Practice address fax:** (815) 777-0292
- **Mailing address:** 9483 W US 20, P.O. BOX 318, GALENA, IL 61036-9182
- **Mailing address phone:** (815) 777-1040
- **Mailing address fax:** (815) 777-0292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1494045 | IL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 05/21/2015