Organization
KING'S DOMINION HOME HEALTHCARE SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON OLADOSU (ADMINISTRATOR)
(312) 200-8251
Entity
Organization
Contact information
Practice address
2104 TREMONT AVE, YORKVILLE, IL 60560-8049
(312) 200-8251
Mailing address
2104 TREMONT AVE, YORKVILLE, IL 60560-8049
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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