Individual
TISHIEKA HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 FOREST BLVD, PARK FOREST, IL 60466-2032
(708) 980-1018
(866) 630-3186
Mailing address
220 FOREST BLVD, PARK FOREST, IL 60466-2032
(708) 980-1018
(866) 630-3186
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3001188
IL
3747A0650X
Attendant Care Provider
3001188
IL
3747P1801X
Personal Care Attendant
3001188
IL
374U00000X
Home Health Aide
3001188
IL
376J00000X
Homemaker
Primary
3001188
IL
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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