Organization
LEAN ON ME CAREGIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE SWOFFORD JR. (OWNER)
(618) 283-9490
Entity
Organization
Contact information
Practice address
507 W GALLATIN ST, VANDALIA, IL 62471-2748
(618) 283-9490
Mailing address
507 W GALLATIN ST, VANDALIA, IL 62471-2748
(618) 283-9490
(618) 283-9490
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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