| NPI | 1275320723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DAVIS Manager 773-999-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-22 |