Organization
SENIOR AND FAMILYHOMECARE SERVICE
Active
Other names
senior and familyhomecareservice
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA CARTER (PRESIDENT)
(217) 722-0496
Entity
Organization
Contact information
Practice address
1501 BLUEGRASS LN, CHAMPAIGN, IL 61822-2074
(217) 722-0496
(217) 355-3444
Mailing address
1501 BLUEGRASS LN, CHAMPAIGN, IL 61822-2074
(217) 722-0496
(217) 355-3444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2006286
IL
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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