Organization
HENDERSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA SEITZ (OFFICE MANAGER)
(309) 627-2812
Entity
Organization
Contact information
Practice address
208 WEST ELM STREET, GLADSTONE, IL 61437
(309) 627-2812
(309) 627-2793
Mailing address
P O BOX 220, 208 WEST ELM STREET, GLADSTONE, IL 61437
(309) 627-2812
(309) 627-2793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001502
IL
Other
Enumeration date
09/09/2008
Last updated
02/20/2024
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