BIANCA DAVIS

HOMEWOOD, IL
NPI1588039556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
(Licence: IL  043.110334)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- BIANCA DAVIS LPN
18610 MORRIS AVE
HOMEWOOD, IL 60430-3628
Phone number: 708-860-2143
Mailing Address
-- BIANCA DAVIS LPN
18610 MORRIS AVE
HOMEWOOD, IL 60430-3628
Phone number: 708-860-2143