Organization
FOREVER STRONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA J MOORE (OWNER/NURSE)
(217) 778-9908
Entity
Organization
Contact information
Practice address
1014 S DUNCAN RD, CHAMPAIGN, IL 61821-4040
(217) 778-9908
Mailing address
1014 S DUNCAN RD, CHAMPAIGN, IL 61821-4040
(217) 778-9908
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E0000X
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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