| NPI | 1073820049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZALDY LARGA VILLASENOR President / CEO 708-240-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011286) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2021-07-12 |