Organization
HEALING HEARTS AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEREIDA MEDINA MANAGER (MANAGER)
(773) 828-7155
Entity
Organization
Contact information
Practice address
4040 N KEDZIE AVE, CHICAGO, IL 60618-2441
(773) 253-4844
Mailing address
2859 N MENARD AVE, CHICAGO, IL 60634-5240
(773) 828-7155
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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