Organization
KATHERINE SHAW BETHEA HOSPITAL
Active
Other names
KSB Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SCHREINER (COO)
(815) 285-5834
Entity
Organization
Contact information
Practice address
101 W 2ND ST, SUITE 203, DIXON, IL 61021-3076
(815) 284-5710
(815) 285-5893
Mailing address
101 W 2ND ST, SUITE 203, DIXON, IL 61021-3076
(815) 284-5710
(815) 285-5893
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001576
IL
Other
Enumeration date
06/15/2007
Last updated
08/18/2011
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