| NPI | 1619003696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONIE JOSEPHINE DESUYO Administrator 773-271-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010427) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |