Organization
WAUKEGAN HOSPICE, LLC
Active
Other names
Star Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization
Contact information
Practice address
1790 NATIONS DR, STE 205, GURNEE, IL 60031-9164
(847) 672-9225
(847) 672-9593
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
01/04/2019
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