Organization
DIVERSITY HEALTH CRAE, INC
Active
Parent organization
DINAMIC HEALTH CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DINAMIC HEALTH CARE, LLC
Authorized official
VERNICE NELSON RN (ADMINISTRATOR/PRESIDENT)
(708) 983-4623
Entity
Organization
Contact information
Practice address
9141 S KEDZIE AVE, EVERGREEN PARK, IL 60805-1606
(708) 983-4623
Mailing address
9141 S KEDZIE AVE, EVERGREEN PARK, IL 60805-1606
(708) 983-4623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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