NPI | 1114099470 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER CHUNG Administrator 630-390-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 376J00000X Homemaker (Licence: IL 8421173) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL 1010593) |
251E00000X Home Health (Licence: IL 1011070) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2018-07-24 |