Individual
MRS. PATRICIA LAVERNE HUNERKOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6278 NEW COLUMBIA RD, BELKNAP, IL 62908-2308
(270) 619-5100
(618) 454-4044
Mailing address
6278 NEW COLUMBIA RD, BELKNAP, IL 62908-2308
(270) 619-5100
(618) 454-4044
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08266565
LLC FILE NUMBER
IL
Enumeration date
06/03/2024
Last updated
06/03/2024
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