| NPI | 1033419528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT GEPAYA RESURRECCION Administrator 708-926-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011208) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-07-21 |