Organization · Type 2 NPI

State of Il Dept of Human Services

Home Health Agency · Joliet, IL

NPI number 1104361633 Active

Practice location

1617 W Jefferson St
Joliet, IL 60435-6724

Call (815) 730-4231 Map

Mailing address

3334 N 12,000 W Road
Bonfield, IL 60913-7383

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X1744428 (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 1104361633

State of Il Dept of Human Services's National Provider Identifier is 1104361633, issued on Dec 19, 2016. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Joliet, IL. The record was last updated on Dec 19, 2016.