Organization
LIFE STYLES LLC.
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KOCH (DIRECTOR)
(847) 462-0303
Entity
Organization
Contact information
Practice address
735 INDUSTRIAL DR, UNIT C, CARY, IL 60013-1961
(847) 462-0303
Mailing address
735 INDUSTRIAL DR, UNIT C, CARY, IL 60013-1961
(847) 462-0303
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000163
ILLINOIS STATE LIC. HOME SERVICE WORKER
IL
Enumeration date
03/06/2012
Last updated
03/06/2012
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