| NPI | 1033200621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA S SOYODE Administrator 708-429-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL IL1010596) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: IL IL1010596) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-11-09 |