| NPI | 1538714407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWOLE ISAIAH ADELEKE President 708-351-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified Home Health |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-03-07 |