| NPI | 1356111538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONDA HUNT Owner 708-270-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |