Organization Name: | DEACONESS VNA PLUS, LLC |
NPI Number: | 1225113137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA D HORTON (EXECUTIVE DIRECTOR) |
Mailing Address: | 1300 Us Highway 45 N Eldorado |
State: | IL US |
Postal Code: | 629303765 |
Phone Number: | 6182739305 |
Fax Number: | 6182732469 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2003119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |