Organization
ANGEL TOUCH HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOFRONIO C. RAVAGO ENGINEER (ASSISTANT ADM./ PRESIDENT)
(773) 907-0300
Entity
Organization
Contact information
Practice address
5757 N LINCOLN AVE STE 18, CHICAGO, IL 60659-4729
(773) 907-0300
(773) 907-0325
Mailing address
5757 N LINCOLN AVE STE 18, CHICAGO, IL 60659-4729
(773) 907-0300
(773) 907-0325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010730
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010730
IDPH
IL
Enumeration date
01/18/2008
Last updated
05/27/2008
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