Organization
PRUDENTIAL HOME HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EME UDOETUK (ADMINISTRATOR)
(708) 709-0709
Entity
Organization
Contact information
Practice address
4440 LINCOLN HWY STE 205, MATTESON, IL 60443-3803
(708) 709-0709
(708) 709-0220
Mailing address
4440 LINCOLN HWY STE 205, MATTESON, IL 60443-3803
(708) 709-0709
(708) 709-0220
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1525293
IL
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
08/24/2021
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