| NPI | 1700275914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA J HOSKINS Owner/Operator 708-577-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: IL PBT(ASCP)38989) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL PBT(ASCP)38989) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-03-31 |