NPI Profile for WEST CENTRAL ILLINOIS NUTRITION in QUINCY, IL.
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Meals |
174200000X | |||
In Home Supportive Care |
253Z00000X |
| NPI # | 1043851488 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/07/2019 | |
| Last updated | 10/23/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WEST CENTRAL ILLINOIS NUTRITION
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