Organization
REGENCY HOME HEALTH CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MOHAMED P.T. (ADMINISTRATOR)
(708) 398-4022
Entity
Organization
Contact information
Practice address
10448 S PULASKI RD, SUITE 4, OAK LAWN, IL 60453-4895
(708) 952-1052
(708) 952-1053
Mailing address
6060 W. 95TH STREET, OAK LAWN, IL 60453-2778
(708) 398-4022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
070-007492
IL
251E00000X
Home Health Agency
Primary
1010758
IL
Other
Enumeration date
06/25/2006
Last updated
03/16/2010
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