Organization
LAKETOP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJIBOLA OGEDENGBE (PRESIDENT)
(708) 960-0048
Entity
Organization
Contact information
Practice address
900 RIDGE RD, SUITE 3NW, HOMEWOOD, IL 60430-1933
(708) 960-0048
Mailing address
900 RIDGE RD, SUITE 3NW, HOMEWOOD, IL 60430-1933
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
3001172
IL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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