Organization
HOSPICE OF SOUTHERN ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA J WISDOM LCSW (PRESIDENT & CEO)
(618) 235-1703
Entity
Organization
Contact information
Practice address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 235-3130
Mailing address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 235-3130
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2000115
IL
Other
Enumeration date
05/23/2005
Last updated
10/05/2015
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