# BUENA VIDA HOME HEALTH AGENCY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265014245
- **Authorized official:** MARIA AIDA RAMOS OWNER (PRESIDENT)
- **Authorized official phone:** (773) 875-5879

## Contact information

- **Practice address:** 5318 W DEVON AVE, CHICAGO, IL 60646-4108
- **Practice address phone:** (773) 875-5879
- **Mailing address:** 4017 N MELVINA AVE APT 1, CHICAGO, IL 60634-5433
- **Mailing address phone:** (773) 875-5879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 04/28/2021