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Organization
GLADSTONE PROPERTIES LLC
Active
Organization
GLADSTONE PROPERTIES LLC
Active
Other names
Gladstone Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRAE LEMOYNE PARKS R.T.(T),MBS,CSCM (ADMINISTRATOR)
(630) 581-8513
Entity
Organization
Contact information
Practice address
100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
(630) 581-8513
Mailing address
100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
(630) 581-8513
(630) 581-8612
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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