Organization
MEDIC HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICA MIRELLA SOMOZA RN (AGENCY SUPERVISOR)
(888) 207-6250
Entity
Organization
Contact information
Practice address
109 ROYCE RD STE D, BOLINGBROOK, IL 60440-1405
(888) 207-6250
(888) 207-6251
Mailing address
109 ROYCE RD STE D, BOLINGBROOK, IL 60440-1405
(888) 207-6250
(888) 207-6251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011325
ILLINOIS DEPARTMENT OF HEALTH
IL
Enumeration date
10/13/2010
Last updated
05/31/2023
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