Organization
JRG 4, INC.
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC PUCEL (OWNER)
(815) 725-2050
Entity
Organization
Contact information
Practice address
3077 W JEFFERSON ST, SUITE 218, JOLIET, IL 60435-5262
(815) 725-2050
(815) 725-2110
Mailing address
1800 SUNSET LN, MORRIS, IL 60450-6814
(815) 725-2050
(815) 725-2110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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