Organization
INFINITY CARE HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SAN LUIS R.O.T. (PRESIDENT)
(630) 336-5737
Entity
Organization
Contact information
Practice address
210 N STATE ST, BELVIDERE, IL 61008-3214
(630) 965-0993
Mailing address
210 N STATE ST, BELVIDERE, IL 61008-3214
(630) 965-0993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011674
STATE LICENSE
IL
Enumeration date
11/05/2014
Last updated
01/30/2015
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