Organization
DIVINE LIGHT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMOLEAYO MARY OLUYEDE (PRESIDENT/AGENCY MANAGER)
(312) 792-6477
Entity
Organization
Contact information
Practice address
875 N MICHIGAN AVE # 3178, CHICAGO, IL 60611-1803
(224) 488-0600
(847) 789-9728
Mailing address
71 NICHOLAS DR W, DES PLAINES, IL 60016-6221
(312) 792-6477
(847) 789-9728
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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