| NPI | 1760758452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO ROY ESQUILLO FLORES Administrator 708-524-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011431) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |