Organization
IN HOME CARE
Active
Other names
IN HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE JONES (CNA)
(217) 775-2347
Entity
Organization
Contact information
Practice address
1525 E MOORE ST, DECATUR, IL 62521-2942
(217) 775-2347
Mailing address
1525 E MOORE ST, DECATUR, IL 62521-2942
(217) 775-2347
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J520-1606-7627
DRIVER LICENSE FOR DIANNE JONES NURSE ASSISTANT
IL
Enumeration date
01/14/2021
Last updated
01/14/2021
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