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Organization

PROSPERITY HEALTHCARE AGENCY

Active
Parent organization
PROSPERITY HEALTHCARE AGENCY
Other names
Prosperity Pediatric Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROSPERITY HEALTHCARE AGENCY
Authorized official
KARA SPRAGGINS RN (NURSE SUPERVISOR)
(708) 269-3121
Entity
Organization

Contact information

Practice address
4801 SOUTHWICK DR, MATTESON, IL 60443-2254
(708) 269-3121
Mailing address
4801 SOUTHWICK DR STE 630-H, MATTESON, IL 60443-2254
(708) 269-3121

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
04/08/2024
Last updated
06/20/2024
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