Provider Demographics
NPI:1043532880
Name:ABLING HANDS HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ABLING HANDS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:309-202-2791
Mailing Address - Street 1:804 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-1629
Mailing Address - Country:US
Mailing Address - Phone:309-938-4468
Mailing Address - Fax:309-282-8730
Practice Address - Street 1:804 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-1629
Practice Address - Country:US
Practice Address - Phone:309-938-4468
Practice Address - Fax:309-282-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011252251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health