Organization
COMPLETE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LILY YUEN R.N. (AGENCY SUPERVISOR)
(773) 814-1672
Entity
Organization
Contact information
Practice address
2800 S WENTWORTH AVE, CHICAGO, IL 60616-4766
(773) 814-1672
(312) 808-1288
Mailing address
2800 S WENTWORTH AVE, CHICAGO, IL 60616-4766
(773) 814-1672
(312) 808-1288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011213
STATE LICENSE
IL
Enumeration date
08/28/2010
Last updated
08/28/2010
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