| NPI | 1629458450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE STEVE IBITAYO Administrator 815-401-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 68796849) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |