| NPI | 1316030695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHIDIEN LUCENA DAWIS Administrator/President 847-679-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010563) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2013-01-25 |