Organization
FMR HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERLE GUARTE MALANYAON RN, BSN (AGENCY SUPERVISOR/PRESIDENT)
(708) 562-0192
Entity
Organization
Contact information
Practice address
2122 S 17TH AVE FL 1, BROADVIEW, IL 60155-3020
(708) 562-0192
(708) 562-0365
Mailing address
2122 S 17TH AVE FL 1, BROADVIEW, IL 60155-3020
(708) 562-0192
(708) 562-0365
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/16/2010
Last updated
05/24/2016
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