Organization
TAMARA & RAQUEL HOME HEALTHCARE AGENCY,L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L WILSON SR. (PRESIDENT)
(708) 333-8976
Entity
Organization
Contact information
Practice address
15475 S PARK AVE, SUITE 110, SOUTH HOLLAND, IL 60473-1328
(708) 333-8976
(708) 333-9493
Mailing address
15475 S PARK AVE, SUITE 110, SOUTH HOLLAND, IL 60473-1328
(708) 333-8976
(708) 333-9493
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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