| NPI | 1205109642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS JANSEN RODIEK CEO 773-697-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000863) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 8000255) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |