Organization
HONEY POND GROUP LLC
Active
Other names
Medinah Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ADERONKE A. KILASO (AGENCY ADMINISTRATOR)
(312) 975-0850
Entity
Organization
Contact information
Practice address
1165 N MILWAUKEE AVE APT 1504, CHICAGO, IL 60642-4045
(312) 975-0850
Mailing address
4000 W MONTROSE AVE # 2133, CHICAGO, IL 60641-2140
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002775
LICENSE NUMBER
IL
Enumeration date
09/14/2024
Last updated
09/14/2024
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