| NPI | 1295234870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA LU Administrator 224-207-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3001054) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-10-28 |