| NPI | 1821712407 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | DOROTHY PRINCEWILL Administrative Director 708-275-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-04-20 |