| NPI | 1003368523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM VAUGHAN Managing Member 224-420-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3001060) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |