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NPI Code Detail

MEDICARE: SSM HOME CARE AT ST. FRANCIS BLUE ISLAND

MEDICARE: SSM HOME CARE AT ST. FRANCIS BLUE ISLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency101C183IL

General Provider Information

NPI Number : 1598739377
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM HOME CARE AT ST. FRANCIS BLUE ISLAND
Provider Business Mailing Address
First Line : 13000 MAPLE AVE
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-2318
Country : US
Telephone Number : 708-371-7777
Fax Number :
Provider Business Practice Location Address
First Line : 13000 MAPLE AVE
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-2318
Country : US
Telephone Number : 708-371-7777
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MIKE TOPOLSKI
Credential :
Telephone Number : 314-989-2528
Provider Enumeration Date : 02/16/2006
Last Update Date : 07/11/2007

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Directions to “SSM HOME CARE AT ST. FRANCIS BLUE ISLAND ” Practice Location

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