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Organization
PROVIDE A CARE LLC
Active
Organization
PROVIDE A CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMENCITA AGNO RN (DIRECTOR)
(773) 326-6860
Entity
Organization
Contact information
Practice address
500 E HIGGINS RD, SUITE 207, ELK GROVE VILLAGE, IL 60007-1400
(773) 326-6860
(847) 690-1539
Mailing address
500 E HIGGINS RD, SUITE 207, ELK GROVE VILLAGE, IL 60007-1400
(773) 326-6860
(847) 690-1539
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010653
IL
Other
Enumeration date
04/11/2007
Last updated
09/23/2011
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