Organization
LAKETOP INC.
Active
Parent organization
LAKETOP INC.
Other names
Brighter Days Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKETOP INC.
Authorized official
MR. AJIBOLA OGEDENGBE (ADMINISTRATOR)
(708) 960-0048
Entity
Organization
Contact information
Practice address
900 RIDGE ROAD, SUITE 3NW, HOMEWOOD, IL 60430-1937
(708) 960-0048
(708) 960-4243
Mailing address
900 RIDGE ROAD, SUITE 3NW, HOMEWOOD, IL 60430-1937
(708) 960-0048
(708) 960-4243
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50392
BCBS
IL
05
—
760761822
—
IL
Enumeration date
02/27/2006
Last updated
04/11/2014
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