Individual
JASON BLUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1398 N OAKLAND AVE, DECATUR, IL 62526-3737
(217) 429-6666
Mailing address
1398 N OAKLAND AVE, DECATUR, IL 62526-3737
(217) 429-6666
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
3002398
IL
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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