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St. John's Healing Community Board
Homemaker in Collinsville, Illinois
NPI 1871712430

St. John's Healing Community Board is a Homemaker based in Collinsville, IL. St. John's Healing Community Board practices in Collinsville, IL. The NPI Number for St. John's Healing Community Board is 1871712430 and holds a License No. (Illinois).

The current practice location address for St. John's Healing Community Board is 222 Goethe Ave, Collinsville, IL and can be reached out via phone at 618-344-5008 and via fax at 618-344-4969.

Location: 222 Goethe Ave, Collinsville, IL, 62234-3306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871712430
Provider Name
St. John's Healing Community Board
Credential
Provider Entity Type
Organization
Address
222 Goethe Ave, Collinsville, IL, 62234-3306
Phone Number
618-344-5008
Fax Number
618-344-4969
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AD001-2002-2007 01 IL DEPT. OF REHABILITATION
96HM00649501 01 IL DEPT. OF RHABILITATION
institution
Provider Business Practice Location Address Details
Address
222 Goethe Ave
City
Collinsville
State
Illinois
Zip
62234-3306
Phone Number
618-344-5008
Fax Number
618-344-4969
person
Provider Business Mailing Address Details
Address
222 Goethe Ave
City
Collinsville
State
Illinois
Zip
62234-3306
Phone Number
618-344-5008
Fax Number
618-344-4969
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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