Organization
ORCHID HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC GONZALES LOZADA (ADMINISTRATOR)
(312) 646-9154
Entity
Organization
Contact information
Practice address
4007 N BROADWAY ST, SUITE 211, CHICAGO, IL 60613-6074
(312) 646-9154
(312) 254-1411
Mailing address
4007 N BROADWAY ST, SUITE 211, CHICAGO, IL 60613-6074
(312) 646-9154
(312) 254-1411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011377
IL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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