Organization
FIRST HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN MARTHA SLAMA RN BSN MS (ADMINISTRATOR)
(708) 535-8609
Entity
Organization
Contact information
Practice address
14730 KILBOURNE AVE, MIDLOTHIAN, IL 60445-3282
(708) 535-8609
(708) 535-8749
Mailing address
14730 KILBOURNE AVE, MIDLOTHIAN, IL 60445-3282
(708) 535-8609
(708) 535-8749
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010437
STATE LICENSE
IL
Enumeration date
01/10/2006
Last updated
08/22/2020
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