Organization
WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO BOESTER RN (CLINICAL DIRECTOR)
(618) 942-6933
Entity
Organization
Contact information
Practice address
204 RUSHING DR, HERRIN, IL 62948-3713
(618) 993-5165
(618) 993-5721
Mailing address
204 RUSHING DR, HERRIN, IL 62948-3713
(618) 993-5165
(618) 993-5721
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1003771
IL
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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