| NPI | 1235851106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA SIMONE THOMPSON- JONES Owner/ Provider 708-600-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-12-07 |