| NPI | 1275938912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON ATIABET Owner 773-274-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2025-05-19 |