Organization
BEVERLY HILLS HOME SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSELYN A SAN JUAN (PRESIDENT)
(773) 457-6005
Entity
Organization
Contact information
Practice address
10601 S. LONGWOOD DRIVE, CHICAGO, IL 60643
(773) 474-6265
(773) 941-5366
Mailing address
10601 S. LONGWOOD DRIVE, CHICAGO, IL 60643
(773) 474-6265
(773) 941-5366
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3001377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001377
IL DEPT. OF PUBLIC HEALTH HOME SERVICES ACCOUNT NUMBER
IL
Enumeration date
12/07/2016
Last updated
10/15/2019
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