| NPI | 1629522842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMIKO SMITH Executive Director 773-701-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |