Organization
AMEDISYS ILLINOIS LLC
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MIGLICCO (VP TAX)
(225) 299-3803
Entity
Organization
Contact information
Practice address
624 PIERCE BLVD, SUITE 100, O FALLON, IL 62269-2579
(618) 622-8854
(618) 622-9528
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364576454006
—
IL
Enumeration date
04/13/2007
Last updated
05/06/2024
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