| NPI | 1013376185 |
|---|---|
| Doing Business As | DOVE MANDELA HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MALCOLM MANDELA LEE Owner/Director 708-200-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-09-23 |