Organization
FIDELITY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JORDAN T MORA (PRESIDENT)
(708) 423-2100
Entity
Organization
Contact information
Practice address
3112 W 95TH ST, SUITEB, EVERGREEN PARK, IL 60805-2405
(708) 423-2100
(708) 423-2101
Mailing address
3112 W 95TH ST, SUITEB, EVERGREEN PARK, IL 60805-2405
(708) 423-2100
(708) 423-2101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010802
IL
Other
Enumeration date
12/03/2009
Last updated
10/14/2014
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