Organization
FAYETTE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA ANDREWS (ADMINISTRATOR)
(618) 283-1044
Entity
Organization
Contact information
Practice address
416 W EDWARDS ST, VANDALIA, IL 62471-2706
(618) 283-7262
(618) 283-5039
Mailing address
416 W EDWARDS ST, VANDALIA, IL 62471-2706
(618) 283-7262
(618) 283-5039
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1863108
IL
Other
Enumeration date
07/24/2008
Last updated
02/02/2017
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