Organization
SKOKIE HOME AND NURSING SERVICES
Active
Organization
SKOKIE HOME AND NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ESTHER FENELON MHEP (ADMINISTRATOR)
847208293547
Entity
Organization
Contact information
Practice address
4207 BIRCHWOOD AVE, SKOKIE, IL 60076-3859
(847) 208-2935
Mailing address
4207 BIRCHWOOD AVE, SKOKIE, IL 60076
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4000511
IL
253Z00000X
In Home Supportive Care Agency
3001334
IL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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