| NPI | 1689510505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE L MCKENZIE Manager 708-970-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374U00000X Home Health Aide | |
| 175T00000X Peer Specialist | |
| 172V00000X Community Health Worker | |
| 253Z00000X In Home Supportive Care | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WC1500X Registered Nurse, Community Health | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 171400000X Health & Wellness Coach | |
| 332U00000X Home Delivered Meals | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2026-04-24 |
| Last Update Date | 2026-05-15 |