Organization
PURE HEARTS HOME HEALTH SERVICES INC.
Active
Other names
pure hearts home health services inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE BANASEN MEJIA RN BSN (ADMINISTRATOR)
(773) 588-1470
Entity
Organization
Contact information
Practice address
3839 N KEDZIE AVE, SUITE 101, CHICAGO, IL 60618-3413
(773) 588-1470
(773) 588-1471
Mailing address
3839 N KEDZIE AVE, SUITE 101, CHICAGO, IL 60618-3413
(773) 588-1470
(773) 588-1471
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011202
IDPH LICENSE #
IL
Enumeration date
02/04/2010
Last updated
02/04/2010
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