Organization
GUIDING LIGHT HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN WILSON RN (OWNER/ADMINISTRATOR)
(815) 830-7499
Entity
Organization
Contact information
Practice address
2285 US ROUTE 52 # 124, SERENA, IL 60549-5105
(815) 830-7499
Mailing address
2285 US ROUTE 52, PO BOX 124, SERENA, IL 60549-5105
(815) 830-7499
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
APPLIED FOR
IL
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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