Organization
FOREVER LIFE CARE INC
Active
Other names
FOREVER LIFE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SOEUNG SAN (PRESIDENT)
(847) 468-5757
Entity
Organization
Contact information
Practice address
6600 N LINCOLN AVE STE 235, LINCOLNWOOD, IL 60712-3627
(847) 468-5757
(847) 724-5030
Mailing address
6600 N LINCOLN AVE STE 235, LINCOLNWOOD, IL 60712-3627
(847) 468-5757
(847) 724-5030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
06/07/2022
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