| NPI | 1831769355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EBOM Administrator 708-991-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-06-08 |