Organization · Type 2 NPI

Src, LP

Home Health Agency · Galesburg, IL

NPI number 1003144791 Active

Practice location

311 E Main St, Suite 202
Galesburg, IL 61401-4855

Fax (866) 557-9176

Mailing address

201 E Park Ave
San Antonio, TX 78212-4657

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X3000269 (IL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1003144791

Src, LP's National Provider Identifier is 1003144791, issued on Nov 18, 2009. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Galesburg, IL. The record was last updated on Dec 3, 2010.