Organization
NURSES AT HOME BY CARLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WASSON (ADMINISTRATOR)
(217) 383-3488
Entity
Organization
Contact information
Practice address
206A W ANTHONY DR, CHAMPAIGN, IL 61822-1218
(217) 383-3488
Mailing address
206A W ANTHONY DR, CHAMPAIGN, IL 61822-1218
(217) 383-3488
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010266
IL
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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