| NPI | 1235822040 |
|---|---|
| Other Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY THEUS Assistant Administrator 847-624-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |