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Organization
HOME HEALTH AGENCY ILLINOIS, LLC
Active
Organization
HOME HEALTH AGENCY ILLINOIS, LLC
Active
Other names
Omni Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RICO (MANAGER)
(305) 476-5160
Entity
Organization
Contact information
Practice address
19146 88TH AVE, MOKENA, IL 60448-8135
(708) 532-4466
(708) 532-4477
Mailing address
510 HOSPITAL DR, SUITE 100, MADISON, TN 37115-5033
(615) 712-2250
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010196
IL
Other
Enumeration date
09/15/2005
Last updated
07/10/2012
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