Organization
PROLIFE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARAH JANE TRIUMFANTE (NURSING SUPERVISOR)
(773) 807-1960
Entity
Organization
Contact information
Practice address
4836 MAIN ST, SUITE 105, SKOKIE, IL 60077-2594
(847) 674-1110
(847) 674-1101
Mailing address
4836 MAIN ST, SUITE 105, SKOKIE, IL 60077-2594
(847) 674-1110
(847) 674-1101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010909
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010909
IDPH LICENSE NUMBER
IL
Enumeration date
02/21/2009
Last updated
03/17/2009
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