Organization
SOUTH MICHIGAN AVE INVESTMENTS LLC
Active
Other names
Home Helpers 58363
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH JOHNSON JR. (PRESIDENT)
(312) 451-2439
Entity
Organization
Contact information
Practice address
2331 E 68TH ST, CHICAGO, IL 60649-1320
(312) 451-2439
Mailing address
PO BOX 199121, CHICAGO, IL 60619-0022
(312) 451-2439
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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