Organization
HEALTHLINE IN-HOME CARE OF IL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SMACK (FINANCIAL MANAGER)
(636) 386-8228
Entity
Organization
Contact information
Practice address
5003 N ILLINOIS ST, SUITE 1, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 671-6524
(618) 671-6523
Mailing address
910 KEHRS MILL RD STE 105, BALLWIN, MO 63011-2404
(636) 386-8228
(636) 386-8245
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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