| NPI | 1629413166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA DARNISE BLACKBURN Owner 708-725-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL D053001) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |