Organization
ESSENTIAL HOME CARE SERVICE
Active
Other names
Essential Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SIME B. FORMENTO (CEO)
(803) 448-5452
Entity
Organization
Contact information
Practice address
6S082 PARK MEADOW DR APT 8E, NAPERVILLE, IL 60540-3824
(803) 448-5452
Mailing address
6S082 PARK MEADOW DR APT 8E, NAPERVILLE, IL 60540-3824
(803) 448-5452
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
07/25/2024
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