Organization
CALVARY ELDERLY HOME HELP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA MARIE ASHMORE (SERVICE MANGER)
(309) 676-7199
Entity
Organization
Contact information
Practice address
1709 W LINCOLN AVE, PEORIA, IL 61605
(309) 673-1709
(309) 676-7193
Mailing address
1709 W LINCOLN, PEORIA, IL 61605
(309) 673-1709
(309) 676-7193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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