Organization
LIVING WATERS HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLYN B BERMUDEZ R.N. (ADMINISTRATOR)
(773) 202-8043
Entity
Organization
Contact information
Practice address
4001 W DEVON AVE, SUITE 406, CHICAGO, IL 60646-4523
(773) 202-8043
(773) 202-8048
Mailing address
4001 W DEVON AVE, SUITE 406, CHICAGO, IL 60646-4523
(773) 202-8043
(773) 202-8048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010420
IL
Other
Enumeration date
04/11/2007
Last updated
08/31/2007
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