14D0877690 CLIA NUMBER - INTERIM HEALTHCARE SERV OF JOLIET INC

Laboratory Demographics

CLIA Number: 14D0877690

Facility Name: INTERIM HEALTHCARE SERV OF JOLIET INC

Facility Address:
310 NORTH HAMMES-SUITE 301E
JOLIET, IL
ZIP 60435
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Facility Phone Number: 815 725-9091

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1609521582

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	14D0877690
LAB Type	Home Health Agency
Facility Name	INTERIM HEALTHCARE SERV OF JOLIET INC
Street	310 NORTH HAMMES-SUITE 301E
City	JOLIET
State	IL
ZIP	60435
Phone	815 725-9091
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024