| NPI | 1649442963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN E. HICKS Program Administrator 773-723-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 001) |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3416L0300X Ambulance, Land Transport | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2022-07-21 |