| Organization Name: | CELTIC HOSPICE & PALLIATIVE CARE SERVICES OF S. IL, LLC |
| NPI Number: | 1720405301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARNOLD E BURCHIANTI (PRESIDENT) |
| Mailing Address: | 1901 Frank Scott Pkwy E Shiloh |
| State: | IL US |
| Postal Code: | 622697342 |
| Phone Number: | 8003588227 |
| Fax Number: | 7247424451 |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |