Organization
JOSHUA ALLIED HOME HEALTH CORPORATION NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERVASE BOLDEN (PRESIDENT/DIRECTOR)
(773) 458-7527
Entity
Organization
Contact information
Practice address
4250 N MARINE DR APT 2534, CHICAGO, IL 60613-1741
(773) 458-7527
Mailing address
4250 N MARINE DR APT 2534, CHICAGO, IL 60613-1741
(773) 458-7527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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