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Jessica Renee Paul, OWNER
Home Health Agency in Galesburg, Illinois
NPI 1528670171

Jessica Renee Paul is a Home Health Agency based in Galesburg, IL. Jessica Renee Paul practices in Galesburg, IL and has the professional credentials of OWNER. The NPI Number for Jessica Renee Paul is 1528670171 and holds a License No. (Illinois).

The current practice location address for Jessica Renee Paul is 647 W Losey St Ste 3, Galesburg, IL and can be reached out via phone at 309-351-7885 and via fax at 309-973-4121.

Location: 647 W Losey St Ste 3, Galesburg, IL, 61401-2594
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528670171
Provider Name
Jessica Renee Paul
Credential
OWNER
Provider Entity Type
Individual
Gender
Female
Address
647 W Losey St Ste 3, Galesburg, IL, 61401-2594
Phone Number
309-351-7885
Fax Number
309-973-4121
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-2406035 01 IL IN HOME CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
647 W Losey St Ste 3
City
Galesburg
State
Illinois
Zip
61401-2594
Phone Number
309-351-7885
Fax Number
309-973-4121
person
Provider Business Mailing Address Details
Address
647 W Losey St Ste 3
City
Galesburg
State
Illinois
Zip
61401-2594
Phone Number
309-351-7885
Fax Number
309-973-4121
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
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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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