# CHRIST MISSIONARY HOME HEALTH AGENCY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christ Missionary Home Health Agency, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992145031
- **Authorized official:** PROF. MELLONY LASHON GANT HOME CARE SERVICES (MANAGER / DIRECTOR/ PRESIDENT/)
- **Authorized official phone:** (312) 566-1888

## Contact information

- **Practice address:** 3121 W 71ST ST APT 2FRONT, CHICAGO, IL 60629-3003
- **Practice address phone:** (312) 566-1888
- **Mailing address:** PO BOX 368218, CHICAGO, IL 60636-8218
- **Mailing address phone:** (312) 566-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/03/2013
- **Last updated:** 06/20/2018