| NPI | 1467083147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE DODSON Executive Director 708-331-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-01-17 |