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JOLIET AREA COMMUNITY HOSPICE CORPORATION

Hospice, Inpatient

Joliet, Illinois

Provider NPI: 1043212103

Organization Information:
Organization Name:  JOLIET AREA COMMUNITY HOSPICE CORPORATION


Practice Location:
250 WATER STONE CIR  JOLIET, IL 60431 US
Tel: 815-740-4104  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
IL0722000340
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N385H00000XRespite Care Facility
Respite Care
Y251G00000XAgencies
Hospice Care, Community Based
IL0722000339

Other Provider Identifiers:

IssuerNumberStateType
AETNA0004423721IL01
BCBS OF IL951801
HUMANA103501032395IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOSPICE JOBS IL - Page 1



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