Organization
CIRCLE OF FRIENDS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE CYZA M.S.W. (ADMINISTRATOR)
(630) 417-8216
Entity
Organization
Contact information
Practice address
42 S ASHLAND AVE, LA GRANGE, IL 60525-6346
(630) 417-8216
Mailing address
42 S ASHLAND AVE, LA GRANGE, IL 60525-6346
(630) 417-8216
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000518
IL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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