| NPI | 1568461820 |
|---|---|
| Doing Business As | PROVIDENCE AT HOME |
| Entity Type | Organization |
| Authorized Contact | JOHANNA ZANDSTRA Vice President Of Operations 708-342-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010138) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-03-28 |