| NPI | 1013105659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENISE ERVIN Owner/ Manager Of Operations 708-748-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL pending) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |