Organization
CQC HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZINNIA C DAVIS RN (ADMINSTRATOR)
(847) 888-1055
Entity
Organization
Contact information
Practice address
1523 WEATHERSTONE LN, LOWER LEVEL, ELGIN, IL 60123-2064
(847) 888-1055
(847) 888-1060
Mailing address
1523 WEATHERSTONE LN, LOWER LEVEL, ELGIN, IL 60123-2064
(847) 888-1055
(847) 888-1060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011194
IL
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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