NPI | 1184763021 |
---|---|
Doing Business As | DIVERSEY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JUSTIN BENNETT BOYCE President 773-472-7484 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X (Licence: IL 038010051) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2010-08-30 |