| NPI | 1295566321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA H AMEGASHIE CEO 708-314-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-08-10 |