IndividualActive
Juanita Boughers
NPI 1124753041 · Attendant Care Provider · Belle Rive, IL
Juanita Boughers is a Attendant Care Provider provider in Belle Rive, IL (NPI 1124753041).
Provider details
- NPI number
- 1124753041
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
405 S Main St
Belle Rive, IL 62810-1228
Phone: (618) 316-1626
Street-level locationGet directions
Mailing address
1026 N 7th St
Mount Vernon, IL 62864-3334
Registry dates
- Enumerated
- 2022-07-24
- Last updated
- 2022-07-24
- Certified
- 2022-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.