| NPI | 1881963049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. LEE WHITEHEAD Advocate 347-524-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |