Organization
PF DEVELOPMENT 5, LLC
Active
Other names
CenterWell Home Health II
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(847) 683-9090
Entity
Organization
Contact information
Practice address
2401 W US HIGHWAY 20, STE 200, PINGREE GROVE, IL 60140-8818
(847) 683-9090
(847) 683-9094
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011124
IL
Other
Enumeration date
06/11/2012
Last updated
09/02/2022
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