# MIND OVER MATTER PSYCHIATRIC HOME HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1689932733
- **Authorized official:** MS. DIANNE GLENN REGISTERED NURSE (PRESIDENT)
- **Authorized official phone:** (708) 229-7667

## Contact information

- **Practice address:** 9730 S WESTERN AVE STE 712, EVERGREEN PARK, IL 60805-2826
- **Practice address phone:** (708) 229-7667
- **Mailing address:** 9730 S WESTERN AVE STE 712, EVERGREEN PARK, IL 60805-2826
- **Mailing address phone:** (708) 229-7667

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 02/14/2013