Organization
VIRGOS HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WACHARES VATHANANAND RN (PRESIDENT/ADMINISTRATOR)
(847) 965-8914
Entity
Organization
Contact information
Practice address
8930 GROSS POINT RD, STE. LL100, SKOKIE, IL 60077-1858
(847) 965-8914
(847) 965-8916
Mailing address
8930 GROSS POINT RD, STE. LL100, SKOKIE, IL 60077-1858
(847) 965-8914
(847) 965-8916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010754
STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
05/15/2008
Last updated
08/24/2011
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