Organization
PACIFIC HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA JACILDO JIMENEZ RN (ADMINISTRATOR)
(773) 463-1047
Entity
Organization
Contact information
Practice address
4136 N KEDZIE AVE, CHICAGO, IL 60618-2440
(773) 463-1047
(773) 463-1485
Mailing address
4136 N KEDZIE AVE, CHICAGO, IL 60618-2440
(773) 463-1047
(773) 463-1485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
08/31/2005
Last updated
07/21/2022
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