Organization
HOME BOUND HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD PARK (ADMINISTRATOR)
(309) 589-0888
Entity
Organization
Contact information
Practice address
7810 N UNIVERSITY ST, PEORIA, IL 61614-1206
(309) 589-0888
(309) 589-0889
Mailing address
7810 N UNIVERSITY ST, PEORIA, IL 61614-1206
(309) 589-0888
(309) 589-0889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010834
IL
Other
Enumeration date
10/12/2007
Last updated
08/04/2008
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