| NPI | 1972847820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNY WONG Executive Director 773-989-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-04-22 |