| NPI | 1154175511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E GEOVANNI IZURIETA Assistant Administrator 708-634-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |