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Organization

GRANITE CITY HOME CARE SERVICES, LLC

Active
Other names
Gateway Regional Hospice, Granite City
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURIE HOLTSFORD (ADMINISTRATOR)
(615) 465-7000
Entity
Organization

Contact information

Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3200
(618) 798-3522
Mailing address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3200
(618) 798-3522

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2002194
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364460628003
IL
Enumeration date
02/28/2006
Last updated
01/20/2012
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