Organization
HOME FOR LIFE ADVANTAGE, INC.
Active
Other names
Home For Life Modifications, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MARIE SHAW (OWNER)
(630) 466-2611
Entity
Organization
Contact information
Practice address
769 N HEARTLAND DR, UNIT B, SUGAR GROVE, IL 60554-9346
(630) 466-2611
(630) 466-4213
Mailing address
769 N HEARTLAND DR, UNIT B, SUGAR GROVE, IL 60554-9346
(630) 466-2611
(630) 466-4213
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/10/2012
Last updated
01/17/2017
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