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Organization

BUDA HEALTH SERVICES, INC.

Active
Other names
ComForcare - Lake County
Organization subpart
No

Provider details

NPI number
Authorized official
DARRYL MACKIN (PRESIDENT)
(847) 960-3419
Entity
Organization

Contact information

Practice address
1117 S MILWAUKEE AVE, SUITE B-3, LIBERTYVILLE, IL 60048-3798
(847) 416-6123
Mailing address
1117 S MILWAUKEE AVE, SUITE B-3, LIBERTYVILLE, IL 60048-3798
(847) 416-6123

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3000984
IL STATE LICENSE
IL
Enumeration date
11/27/2012
Last updated
04/10/2013
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