Organization
MENE ANGEL HOME & HEALTH CARE
Active
Parent organization
MATRIARCH'S ENTERPRISE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATRIARCH'S ENTERPRISE
Authorized official
MS. LOUISE MARIE CRAYTON (OWNER)
(815) 914-6072
Entity
Organization
Contact information
Practice address
815 N CHURCH ST, ROCKFORD, IL 61103-7205
(815) 914-6072
Mailing address
815 N CHURCH ST, ROCKFORD, IL 61103-7205
(815) 914-6072
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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