Organization
AWAKENED ALTERNATIVES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE THOMAS R.N, MSN (PRESIDENT)
(708) 748-1520
Entity
Organization
Contact information
Practice address
3235 VOLLMER RD, STE. 200, FLOSSMOOR, IL 60422-2013
(708) 748-1520
Mailing address
548 MARIE DR, SOUTH HOLLAND, IL 60473-2232
(773) 544-9380
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
041335162
IL
251J00000X
Nursing Care Agency
Primary
209011553
IL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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