| NPI | 1235373986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY TUAZON LOPEZ President/Administrator 224-623-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1925210) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2010-08-12 |