Organization
VENTRACARE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY A NWAFOR PH.D (CHIEF EXECUTIVE OFFICER)
(708) 953-1476
Entity
Organization
Contact information
Practice address
11025 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2492
(708) 953-1476
(800) 990-3770
Mailing address
1440 ASTER LN, BOLINGBROOK, IL 60490-4532
(708) 953-1476
(800) 990-3770
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
04/23/2024
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