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General NPI Number Information
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NPI Number | 1902789548
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Entity Type | Organization
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Legal Business Name | SOUTHERN ILLINOIS CARING HANDS
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 12 WOLF CREEK DR STE 100
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City | SWANSEA
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State | IL
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Zip | 62226-2314
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Country | US
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Telephone | 618-792-6087
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Fax |
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Provider Business Mailing Address
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Address Line | 17 PLEASANT LN
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City | FAIRVIEW HEIGHTS
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State | IL
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Zip | 62208-1813
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Country | US
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Telephone | 618-792-6087
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Fax | 303-484-4808
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Authorized Official
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Title or Position | AGENCY ADMINISTRATOR
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Name | JOSHUA MCCLAIN
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Credential | MPH
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Telephone | 618-792-6087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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