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Organization
RENAISSANCE ADULT DAY IN HOME CARE SERVICES, INC
Active
Organization
RENAISSANCE ADULT DAY IN HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN E. HICKS (PROGRAM ADMINISTRATOR)
(773) 723-9670
Entity
Organization
Contact information
Practice address
7920 S GREENWOOD AVE, CHICAGO, IL 60619-3318
(773) 723-9670
(773) 723-9677
Mailing address
7920 S GREENWOOD AVE, CHICAGO, IL 60619-3318
(773) 723-9670
(773) 723-9677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
001
IL
Other
Enumeration date
03/26/2008
Last updated
07/21/2022
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