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Alisa Danielle Patterson
Home Health Agency in Peoria, Illinois
NPI 1639757388

Alisa Danielle Patterson is a Home Health Agency based in Peoria, IL. Alisa Danielle Patterson practices in Peoria, IL. The NPI Number for Alisa Danielle Patterson is 1639757388 and holds a License No. (Illinois).

The current practice location address for Alisa Danielle Patterson is 3710 W Verner Dr, Peoria, IL and can be reached out via phone at 773-916-1292.

Location: 3710 W Verner Dr, Peoria, IL, 61615-2990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639757388
Provider Name
Alisa Danielle Patterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3710 W Verner Dr, Peoria, IL, 61615-2990
Phone Number
773-916-1292
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02252019 05 IL
institution
Provider Business Practice Location Address Details
Address
3710 W Verner Dr
City
Peoria
State
Illinois
Zip
61615-2990
Phone Number
773-916-1292
Fax Number
person
Provider Business Mailing Address Details
Address
3710 W Verner Dr
City
Peoria
State
Illinois
Zip
61615-2990
Phone Number
773-916-1292
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(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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