| NPI | 1457188641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA RAINEY Owner 312-340-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |