Organization
CELTIC PRIVATE CARE OF IL & MO, LLC
Active
Other names
VNA-TIP Private Duty
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD E BURCHIANTI II (PRESIDENT)
(724) 720-1205
Entity
Organization
Contact information
Practice address
1809 W MCCORD ST, CENTRALIA, IL 62801-5838
(618) 545-0138
Mailing address
150 SCHARBERRY LN, MARS, PA 16046-2430
(800) 355-8894
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4000188
IL
Other
Enumeration date
03/20/2014
Last updated
10/05/2015
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