NPI 1003144791
Src, LP
Practice location
- Address
- 311 E Main St Suite 202, Galesburg, IL 61401-4855
- Phone
- (309) 228-4222
- Fax
- (866) 557-9176
- Mailing address
- 201 E Park Ave, San Antonio, TX 78212-4657
Authorised official
- Name
- Jeffrey Adam Salter
- Title
- President
- Phone
- (210) 757-4650
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003144791
- Entity type
- Organization
- NPI issued
- 18 Nov 2009
- Record last updated
- 3 Dec 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.