Organization
OPAL HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELSIE PAEZ BSN, RN (AGENCY ADMINISTRATOR)
(773) 283-3074
Entity
Organization
Contact information
Practice address
4403 W LAWRENCE AVE, SUITE 201, CHICAGO, IL 60630-2513
(773) 283-3074
(773) 283-2986
Mailing address
4403 W LAWRENCE AVE, SUITE 201, CHICAGO, IL 60630-2513
(773) 283-3074
(773) 283-2986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011510
IL
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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