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Organization
DOMINGUEZ DEVELOPMENT GROUP INCORPORATED
Active
Organization
DOMINGUEZ DEVELOPMENT GROUP INCORPORATED
Active
Other names
Nurse Next Door- La Grange
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE HERMENCIA DOMINGUEZ RN, BSN (CO-OWNER/ADMINISTRATOR)
(708) 244-9225
Entity
Organization
Contact information
Practice address
72 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-6318
(708) 832-4042
(708) 854-6038
Mailing address
72 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-6318
(708) 832-4042
(708) 854-6038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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