Organization
DEZYEVE PROIRITY HOMECARE
Active
Other names
DEZYEVE PROIRITY HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
NKENG B NGWEMOH RN (CEO)
(331) 980-9016
Entity
Organization
Contact information
Practice address
2514 CALIENDO CIR, MONTGOMERY, IL 60538-4015
(331) 980-9016
Mailing address
2514 CALIENDO CIR, MONTGOMERY, IL 60538-4015
(331) 980-9016
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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