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Organization
ADVANCE HOME HEALTH CARE PROVIDER CORPORATION
Active
Organization
ADVANCE HOME HEALTH CARE PROVIDER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIR M MIRJAT (ADMINISTRATOR)
(630) 424-9400
Entity
Organization
Contact information
Practice address
935 W 175TH STREET, SUITE 102, HOMEWOOD, IL 60430
(630) 424-9400
(630) 424-9421
Mailing address
935 W 175TH STREET, SUITE 102, HOMEWOOD, IL 60430
(630) 424-9400
(630) 424-9421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL1010800
IL
Other
Enumeration date
10/06/2007
Last updated
10/28/2019
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