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Organization

HOPKINS NURSING CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENISE ERVIN RN, MSN, FNP (OWNER/ MANAGER OF OPERATIONS)
(708) 748-2055
Entity
Organization

Contact information

Practice address
514 ILLINOIS ST, PARK FOREST, IL 60466-1076
(708) 748-2055
(708) 748-2257
Mailing address
514 ILLINOIS ST, PARK FOREST, IL 60466-1076
(708) 748-2055
(708) 748-2257

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PENDING
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126772-00
IDHR BIDDER #
IL
Enumeration date
10/09/2007
Last updated
10/09/2007
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