# OVERTIME HOME CARE

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

## Provider details

- **NPI number:** 1356231971
- **Authorized official:** MR. DARRELL D BOLDEN (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (312) 890-6789

## Contact information

- **Practice address:** 616 S 14TH AVE, MAYWOOD, IL 60153-1997
- **Practice address phone:** (312) 890-6789
- **Mailing address:** 616 S 14TH AVE, MAYWOOD, IL 60153-1997
- **Mailing address phone:** (312) 890-6789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025