Organization
NURSES ON WHEELS HOMESERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESIA BOYD CARLOCK (DIRECTOR)
(773) 313-9040
Entity
Organization
Contact information
Practice address
11001 S MICHIGAN AVE STE 105, CHICAGO, IL 60628-4308
(773) 313-9040
Mailing address
11001 S MICHIGAN AVE STE 105, CHICAGO, IL 60628-4308
(773) 313-9040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP2400X
Prison Health Clinic/Center
—
—
Other
Enumeration date
01/14/2022
Last updated
03/18/2022
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