| NPI | 1801262522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA L ROBINSON Fnp C 708-539-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2022-07-21 |