| NPI | 1427318542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LUMENE President 224-623-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 232541) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 232541) |
| 251T00000X PACE Provider Organization (Licence: FL 232541) | |
| 253Z00000X In Home Supportive Care (Licence: FL 232541) | |
| 344600000X Taxi (Licence: FL 232541) | |
| 347C00000X Private Vehicle (Licence: FL 232541) | |
| 385H00000X Respite Care (Licence: FL 232541) | |
| 385HR2050X Respite Care, Respite Care Camp (Licence: FL 232541) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: FL 232541) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 232541) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 232541) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |