| NPI | 1194870618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMENCITA GUY AGNO Owner Secretary 773-545-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL IL1010438) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |