Organization · Type 2 NPI
Moments Hospice of Peoria LLC
Community Based Hospice Care Agency · Peoria, IL
NPI number
1013697168
Active
Practice location
1605 W Candletree Dr Ste 100
Peoria, IL 61614-1658
Fax (763) 205-9350
Mailing address
820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
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About NPI 1013697168
Moments Hospice of Peoria LLC's National Provider Identifier is 1013697168, issued on Jul 24, 2023. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 21, 2023.