NPI | 1215515713 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE DEGAYNER Owner 847-840-3721 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2021-03-29 |