Organization
HOSPICE OF KANKAKEE VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K TURNER MBA CPA (EXECUTIVE DIRECTOR)
(815) 939-4141
Entity
Organization
Contact information
Practice address
482 MAIN ST NW, BOURBONNAIS, IL 60914-2331
(815) 939-4141
(815) 936-3375
Mailing address
482 MAIN ST NW, BOURBONNAIS, IL 60914-2331
(815) 939-4141
(815) 936-3375
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
036-099237
IL
251G00000X
Community Based Hospice Care Agency
Primary
2000420
IL
Other
Enumeration date
06/04/2006
Last updated
03/24/2014
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