Organization
FREEDOM RESOURCES, LLC
Active
Other names
Interim HealthCare of Southern Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH MCGINN (OWNER/AGENCY MANAGER)
(618) 477-8500
Entity
Organization
Contact information
Practice address
4503 W DEYOUNG ST, SUITE 202, MARION, IL 62959-0018
(618) 477-8500
(618) 477-8545
Mailing address
4503 W DEYOUNG ST, SUITE 202, MARION, IL 62959-0018
(618) 477-8500
(618) 477-8545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001520
HOME SERVICES LICENSE
IL
01
—
4000537
HOME NURSING LICENSE
IL
Enumeration date
11/21/2016
Last updated
02/15/2017
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