Organization
SOMEONE SPECIAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY VANDIVER (OWNER/PRESIDENT)
(618) 581-0940
Entity
Organization
Contact information
Practice address
226 CENTREVILLE AVE, BELLEVILLE, IL 62220-1948
(618) 825-9090
Mailing address
226 CENTREVILLE AVE, BELLEVILLE, IL 62220-1948
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
11/25/2019
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