NPI | 1982046355 |
---|---|
Entity Type | Organization |
Authorized Contact | FUNMI MARTINS-MENSAH Executive Director 815-295-3146 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 12HM519014) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: IL 44CSA00737) |
253Z00000X In Home Supportive Care (Licence: IL QMXHPQ0915) | |
305S00000X Point of Service (Licence: IL QXIPQ0000096439) | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2016-10-20 |