Organization
LIFELINE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFEO PADILLA RN (ADMINISTRATOR)
(630) 359-4666
Entity
Organization
Contact information
Practice address
15 E PARK BLVD, STE. 1M, VILLA PARK, IL 60181-2984
(630) 359-4666
(630) 501-0554
Mailing address
15 E PARK BLVD, STE. 1M, VILLA PARK, IL 60181-2984
(630) 359-4666
(630) 501-0554
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010999
DEPARTMENT OF PUBLIC HEALTH LICENSE
IL
Enumeration date
05/25/2009
Last updated
10/20/2014
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