Organization
DOMINION LIVING ASSISTANCE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA OKAFOR (PRES)
(630) 226-1825
Entity
Organization
Contact information
Practice address
2 RED BUD CT, BOLINGBROOK, IL 60490-6516
(630) 226-1825
Mailing address
2 RED BUD CT, BOLINGBROOK, IL 60490-6516
(630) 226-1825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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