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NPI Profile for AGE WISE CARE MANAGEMENT INC in SAVOY, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adult Mental Health |
261QM0850X | |||
Case Management |
251B00000X |
| NPI # | 1255952255 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/30/2020 | |
| Last updated | 04/30/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AGE WISE CARE MANAGEMENT INC.