Organization
D-LAMB GATE HOME CARE LLC
Active
Other names
D-Lamb Gate Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMIVBAGBAI CLEMENTINA TSEDI (PRESIDENT/ CEO)
(312) 972-9022
Entity
Organization
Contact information
Practice address
770 LEE ST STE 104B, DES PLAINES, IL 60016-6458
(312) 972-9022
Mailing address
770 LEE ST STE 104B, DES PLAINES, IL 60016-6458
(312) 972-9022
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002065
HOME SERVICE AGENCY
IL
Enumeration date
04/27/2022
Last updated
04/27/2022
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