Organization
GEORGIA HOME SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD COPELAND (OWNER/PRESIDENT/ADMINISTRATOR)
(708) 632-4230
Entity
Organization
Contact information
Practice address
4415 HARRISON ST STE 322, HILLSIDE, IL 60162-1905
(708) 632-4230
Mailing address
3210 MONROE ST, BELLWOOD, IL 60104-2244
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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