Organization
JAC CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRYLYN CARDENAS GRUENBERG (ADMINISTRATOR)
(708) 897-8772
Entity
Organization
Contact information
Practice address
6501 W 126TH PL, PALOS HEIGHTS, IL 60463-1708
(708) 897-8772
(708) 942-8929
Mailing address
6501 W 126TH PLACE, PALOS HEIGHTS, IL 60463
(708) 897-8772
(708) 942-8929
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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