Organization
GEORGETOWN HOME HEALTH CARE INC
Active
Other names
Georgetown Home Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MOPELOLA AGBOJE (ADMINISTRATOR)
(224) 678-9772
Entity
Organization
Contact information
Practice address
1700 E ALGONQUIN RD, STE 106, ALGONQUIN, IL 60102-9632
(224) 678-9772
(224) 333-0496
Mailing address
1700 E ALGONQUIN RD, STE 106, ALGONQUIN, IL 60102-9632
(224) 678-9772
(224) 333-0496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011506
ILLINOIS DEPT. OF PUBLIC HEALTH
IL
Enumeration date
05/24/2012
Last updated
05/24/2012
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