Organization
FJ HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA TARIQ (ADMINISTRATOR)
(708) 581-3500
Entity
Organization
Contact information
Practice address
4507 W 95TH ST, OAK LAWN, IL 60453-2621
(708) 581-3500
(708) 581-3505
Mailing address
4507 W 95TH ST, OAK LAWN, IL 60453-2621
(708) 581-3500
(708) 581-3505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50270
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/16/2007
Last updated
02/02/2017
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