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Organization

MEDI-PLEX HOSPICE OF ILLINOIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLENDA FAYE WHITE MBA, BSN, RN (CEO/OWNER)
(618) 416-6900
Entity
Organization

Contact information

Practice address
8 PARK PLACE, SUITE #3, SWANSEA, IL 62226
(618) 416-6900
(618) 416-6902
Mailing address
8 PARK PLACE, SUITE #3, SWANSEA, IL 62226
(618) 416-6900
(618) 416-6902

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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