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Organization

JUST90LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORA JEAN THREADGILL (OWNER)
(815) 238-1565
Entity
Organization

Contact information

Practice address
1247 E SHAWNEE ST, FREEPORT, IL 61032-5963
(815) 238-1565
Mailing address
1247 E SHAWNEE ST, FREEPORT, IL 61032-5963
(815) 238-1565

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/28/2025
Last updated
03/28/2025
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