| NPI | 1528635463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARNESTINE MOORE Unknown 708-965-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |