NPI | 1124357629 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE BIANCHI Administrator 708-914-4990 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011647) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL 1011175) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2014-04-02 |