Organization
HIS GRACE ENTERPRISE,INC
Active
Other names
His Grace Home Healthcare,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGUNWALE TOLULOPE FOLAJU M.D (ADMINISTRATOR)
(708) 283-0743
Entity
Organization
Contact information
Practice address
318 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 283-0743
(708) 283-0744
Mailing address
318 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 283-0743
(708) 283-0744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
12/14/2007
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