NPI 1104906767

Hospice of Kankakee Valley Palliative Clinic

Organisation Inpatient Hospice Bourbonnais, IL

Practice location

Address: 482 Main Street NW, Bourbonnais, IL 60914-2331
Phone: (815) 936-3370
Fax: (815) 936-3375

Authorised official

Name: Dorothea M. Lagesse
Title: Executive Director
Phone: (815) 936-3370

Registered specialties

Inpatient Hospice Primary

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 2000420 (IL)

Other Hospice, Inpatient providers in Illinois →

Registry record

NPI: 1104906767
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 22 Aug 2020

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.