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Organization
SPECIALIZED HOMECARE SERVICES
Active
Organization
SPECIALIZED HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA D JELKS (MANAGER/CERTIFIED NURSE ASSISTANT)
(708) 965-9758
Entity
Organization
Contact information
Practice address
19900 GOVERNORS DR, SUITE 13, OLYMPIA FIELDS, IL 60461-1057
(708) 663-8782
Mailing address
PO BOX 223, LANSING, IL 60438-0223
(708) 965-9758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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