Organization
PHYSICIANS CHOICE HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINIA MANABAT PT (ADMINISTRATOR)
(815) 508-5253
Entity
Organization
Contact information
Practice address
18400 MAPLE CREEK DR STE 400, TINLEY PARK, IL 60477-3015
(815) 508-5253
Mailing address
18400 MAPLE CREEK DR STE 400, TINLEY PARK, IL 60477-3015
(815) 508-5253
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011184
IL LICENCE
IL
Enumeration date
12/24/2019
Last updated
12/24/2019
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