Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (Fairview Heights), ProMedica Hospice (Springfield)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
333 SALEM PL, SUITE 165, FAIRVIEW HEIGHTS, IL 62208-1341
(618) 632-0304
(618) 632-0364
Mailing address
333 N SUMMIT ST, DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 254-5494
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
2001311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700105152
—
MO
Enumeration date
05/25/2010
Last updated
04/15/2022
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