Organization
FAMILY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY ANNE THOMAN RN (ADMINISTRATOR)
(217) 273-0593
Entity
Organization
Contact information
Practice address
80 BROADWAY AVE, 102, MATTOON, IL 61938-4559
(217) 235-0648
(217) 235-3141
Mailing address
80 BROADWAY AVE, 102, MATTOON, IL 61938-4559
(217) 235-0648
(217) 235-3141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
67183339
IL
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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