Organization
LIFE HOME HEALTH CARE INC. OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRYSTAL BERNADETTE BUENAFLOR (PRESIDENT)
(618) 751-4779
Entity
Organization
Contact information
Practice address
4503 W DEYOUNG ST. SUITE 203C, MARION, IL 62959
(618) 751-4779
Mailing address
4503 W. DEYOUNG ST. SUITE 203C MAILBOX # 4, MARION, IL 62959
(618) 751-4779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011463
IL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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