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NPI 1124753041

IndividualActive

Juanita Boughers

NPI 1124753041 · Attendant Care Provider · Belle Rive, IL

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

More IL providers

Mailing address

1026 N 7th St

Mount Vernon, IL 62864-3334

Registry dates

Enumerated: 2022-07-24
Last updated: 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.

Juanita Boughers — NPI 1124753041, Belle Rive, IL | NPI Central