Organization
MIRANDA HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INSIA TABREZI (ADMINISTRATOR)
(630) 880-6246
Entity
Organization
Contact information
Practice address
2644 DEMPSTER ST STE 101A, PARK RIDGE, IL 60068-8430
(708) 922-3710
(708) 922-3715
Mailing address
19150 S. KEDZIE AVE, 203, FLOSSMOOR, IL 60422-1222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/23/2012
Last updated
11/15/2024
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