Organization
ATHENA HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALAN PEEL JR. MSN (PRESIDENT)
(309) 826-2761
Entity
Organization
Contact information
Practice address
112 PRANCER DR, HEYWORTH, IL 61745-9648
(309) 826-2761
Mailing address
112 PRANCER DR, HEYWORTH, IL 61745-9648
(309) 826-2761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
041378159
IL
251F00000X
Home Infusion Agency
041378159
IL
251G00000X
Community Based Hospice Care Agency
041378159
IL
251J00000X
Nursing Care Agency
041378159
IL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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