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Joanna Tedford
Clinic/Center in Decatur, Illinois
NPI 1710628656

Joanna Tedford is a Clinic/Center based in Decatur, IL. Joanna Tedford practices in Decatur, IL. The NPI Number for Joanna Tedford is 1710628656 and holds a License No. (Illinois).

The current practice location address for Joanna Tedford is 4174 Starlight Ave, Decatur, IL and can be reached out via phone at 217-761-5288. You can also correspond with Joanna Tedford through the mailing address at 4174 STARLIGHT AVE, DECATUR, IL - 62526-1290 (mailing address contact number: ).

Location: 4174 Starlight Ave, Decatur, IL, 62526-1290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710628656
Provider Name
Joanna Tedford
Credential
Provider Entity Type
Organization
Address
4174 Starlight Ave, Decatur, IL, 62526-1290
Phone Number
217-761-5288
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4174 Starlight Ave
City
Decatur
State
Illinois
Zip
62526-1290
Phone Number
217-761-5288
Fax Number
person
Provider Business Mailing Address Details
Address
4174 Starlight Ave
City
Decatur
State
Illinois
Zip
62526-1290
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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