| NPI | 1568286201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ROSS Member 708-200-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |