Organization
LISAMEL LLC
Active
Other names
Home 2 Heart Adult Daycare
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JETER (OWNER)
(708) 243-1169
Entity
Organization
Contact information
Practice address
19950 TORRENCE AVE, LYNWOOD, IL 60411-7614
(708) 243-1169
Mailing address
19950 TORRENCE AVE, LYNWOOD, IL 60411-7614
(708) 243-1169
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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