| NPI | 1639377138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA LOURDES REYES CELICIOUS Administrator 847-244-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL under process) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-08-18 |