Organization
CARETENDERS VISITING SERVICES OF SOUTHERN ILLINOIS, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS MACIP (CHIEF ADMINISTRATIVE OFFICER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
141 MARKET PL STE 110, FAIRVIEW HEIGHTS, IL 62208-2034
(618) 277-8899
(618) 277-8628
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
04/10/2023
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