Individual
LAVEDA WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 S 5TH AVE, MAYWOOD, IL 60153-3202
(630) 999-3468
Mailing address
1314 KENSINGTON RD # 4746, OAK BROOK, IL 60523-2131
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
332U00000X
Home Delivered Meals
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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