Organization
MAGNIFICENT HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD A JAVATE (ASSISTANT ADMINISTRATOR)
(708) 499-0321
Entity
Organization
Contact information
Practice address
3345 W 95TH ST, EVERGREEN PARK, IL 60805-2234
(708) 499-0321
(708) 499-0360
Mailing address
3345 W 95TH ST, EVERGREEN PARK, IL 60805-2234
(708) 499-0321
(708) 499-0360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011027
IL
Other
Enumeration date
07/08/2009
Last updated
09/01/2009
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