Organization
OPTIMAL HOMECARE SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA A OJENGBEDE REGISTERED NURSE (AGENCY MANAGER)
(708) 265-5855
Entity
Organization
Contact information
Practice address
282 MAIN ST, PARK FOREST, IL 60466-2098
(708) 265-5855
(708) 265-5845
Mailing address
282 MAIN ST, PARK FOREST, IL 60466-2098
(708) 265-5855
(708) 265-5845
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012002
IDPH LICENSE
IL
Enumeration date
02/01/2018
Last updated
12/06/2021
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