| NPI | 1396021671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE SYLVIA LEWIS Home Maker 708-724-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |