Organization
CALL KELLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY MANGES (OWNER)
(630) 863-5235
Entity
Organization
Contact information
Practice address
102 WILLIAMSBURG LN, BOLINGBROOK, IL 60440-2915
(630) 749-0519
Mailing address
102 WILLIAMSBURG LN, BOLINGBROOK, IL 60440-2915
(630) 749-0519
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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