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Organization

SENIOR AND CHILD HOMECARE SVC

Active
Other names
Senior Staffing Care providers
Organization subpart
No

Provider details

NPI number
Authorized official
LATASHA DORRIS (PRESIDENT/OWNER)
(217) 351-2064
Entity
Organization

Contact information

Practice address
10 HENSON PL, SUITE 4, CHAMPAIGN, IL 61820-7836
(217) 621-8251
(217) 355-3444
Mailing address
#10 HESIN PLACE, SUITE 4, CHAMPAIGN, IL 61821-6830
(217) 621-8251
(217) 355-3444

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
IL

Other

Enumeration date
12/24/2007
Last updated
08/25/2008
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