| NPI | 1114284791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L GRAY President 312-447-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000650) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2017-03-31 |