| NPI | 1023130424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA AGBISIT Administrator 224-268-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 1010691) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-05-07 |