| NPI | 1770136632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM O'DARE Director Of Operations 312-388-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 177F00000X Lodging | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |