Organization
A&S HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULTAN SURTI MPH, MBBS (ADMINISTRATOR)
(630) 964-6100
Entity
Organization
Contact information
Practice address
6900 MAIN ST, SUITE# 200, DOWNERS GROVE, IL 60516-3454
(630) 964-6100
(630) 964-6440
Mailing address
6900 MAIN ST, SUITE# 200, DOWNERS GROVE, IL 60516-3454
(630) 964-6100
(630) 964-6440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL1010705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL1010705
STATE LICENCE NUMBER
IL
Enumeration date
03/12/2007
Last updated
10/05/2010
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