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Michael Boose
Homemaker in Belleville, Illinois
NPI 1104550706

Michael Boose is a Homemaker based in Belleville, IL. Michael Boose practices in Belleville, IL. The NPI Number for Michael Boose is 1104550706 and holds a License No. (Illinois).

The current practice location address for Michael Boose is 25 Kingery Ct Apt 38, Belleville, IL and can be reached out via phone at 618-381-2886. You can also correspond with Michael Boose through the mailing address at 25 KINGERY CT APT 38, BELLEVILLE, IL - 62226-6280 (mailing address contact number: 618-381-2886).

Location: 25 Kingery Ct Apt 38, Belleville, IL, 62226-6280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104550706
Provider Name
Michael Boose
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Kingery Ct Apt 38, Belleville, IL, 62226-6280
Phone Number
618-381-2886
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11362192 01 IL NA
institution
Provider Business Practice Location Address Details
Address
25 Kingery Ct Apt 38
City
Belleville
State
Illinois
Zip
62226-6280
Phone Number
618-381-2886
Fax Number
person
Provider Business Mailing Address Details
Address
25 Kingery Ct Apt 38
City
Belleville
State
Illinois
Zip
62226-6280
Phone Number
618-381-2886
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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