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Organization
ESSENTIAL HOME CARE SERVICE
Active
Organization
ESSENTIAL HOME CARE SERVICE
Active
Other names
Essential Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SIME B. FORMENTO (CEO)
(803) 448-5452
Entity
Organization
Contact information
Practice address
6S082 PARK MEADOW DR APT 8E, NAPERVILLE, IL 60540-3824
(803) 448-5452
Mailing address
6S082 PARK MEADOW DR APT 8E, NAPERVILLE, IL 60540-3824
(803) 448-5452
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
07/25/2024
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