Organization
1776 HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANAEL TRUITT (CEO)
(630) 460-4515
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD STE E114, GLEN ELLYN, IL 60137-5884
(630) 469-4515
Mailing address
800 ROOSEVELT RD STE E114, GLEN ELLYN, IL 60137-5884
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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