Organization
AVITA HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATERYNA RADETSKA GULLEY (MANAGER)
(773) 840-5260
Entity
Organization
Contact information
Practice address
825 E RAND RD STE 250, ARLINGTON HEIGHTS, IL 60004-4076
(773) 840-5260
(773) 840-5209
Mailing address
825 E RAND RD STE 250, ARLINGTON HEIGHTS, IL 60004-4076
(773) 840-5260
(773) 840-5209
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/09/2019
Last updated
01/13/2026
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