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 Number | 1043851488 |
| LBN Legal business name | WEST CENTRAL ILLINOIS NUTRITION |
| Authorized official | KIMBERLY THOMPSON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2019 |
| Last updated | 10/23/2019 - About 7 years ago |
| Identifiers | n/a |
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WEST CENTRAL ILLINOIS NUTRITION
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| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |