| NPI | 1093042863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRENA ARMETTA HARRIS Administrator 708-821-5448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2009-11-15 |