Organization
HOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHEA M. LAGESSE MBA, HACP (EXECUTIVE DIRECTOR)
(815) 936-3370
Entity
Organization
Contact information
Practice address
482 MAIN STREET NW, BOURBONNAIS, IL 60914-2331
(815) 936-3370
(815) 936-3375
Mailing address
482 MAIN STREET NW, BOURBONNAIS, IL 60914-2331
(815) 936-3370
(815) 936-3375
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
2000420
IL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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