| NPI | 1063641355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD A JAVATE Assistant Administrator 708-499-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011027) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-09-01 |