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Src, Lp
Home Health Agency in Galesburg, Illinois
NPI 1003144791

Src, Lp is a Home Health Agency based in San Antonio, IL. Src, Lp practices in Galesburg, IL. The NPI Number for Src, Lp is 1003144791 and holds a License No. 3000269 (Illinois).

The current practice location address for Src, Lp is 311 E Main St, Galesburg, IL and can be reached out via phone at 309-228-4222 and via fax at 866-557-9176.

Location: 311 E Main St, Galesburg, IL, 78212-4657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003144791
Provider Name
Src, Lp
Credential
Provider Entity Type
Organization
Address
311 E Main St, Galesburg, IL, 78212-4657
Phone Number
309-228-4222
Fax Number
866-557-9176
Provider Enumeration Date
11/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
311 E Main St
City
Galesburg
State
Illinois
Zip
61401-4855
Phone Number
309-228-4222
Fax Number
866-557-9176
person
Provider Business Mailing Address Details
Address
311 E Main St
City
Galesburg
State
Illinois
Zip
61401-4855
Phone Number
309-228-4222
Fax Number
866-557-9176
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
3000269 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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