NPI | 1558300335 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD A JARVIS Managing Director LLC Member 708-229-0723 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010200) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-08-22 |