Organization
KATHERINE SHAW BETHEA HOSPITAL
Active
Other names
KSB Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SCHREINER (ADMINISTRATOR)
(815) 284-5710
Entity
Organization
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5738
Mailing address
101 W 2ND ST, SUITE 203, DIXON, IL 61021-3076
(815) 284-5710
(815) 285-5893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001841
IL
Other
Enumeration date
10/27/2005
Last updated
12/29/2022
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