Organization
AT HOME MISSION NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DRAGOS BUTUCEA BOSCOIANU (EXECUTIVE DIRECTOR)
(312) 646-8099
Entity
Organization
Contact information
Practice address
7617 N OKETO AVE, NILES, IL 60714-3113
(312) 646-8099
(312) 626-2489
Mailing address
7617 N OKETO AVE, NILES, IL 60714-3113
(312) 646-8099
(312) 626-2489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
201500001C
IL
251S00000X
Community/Behavioral Health Agency
Primary
201500001C
IL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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