NPI | 1093741415 |
---|---|
Entity Type | Organization |
Authorized Contact | AHMED MOHAMED Administrator 708-398-4022 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010758) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL 070-007492) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2010-03-16 |