Organization
EMMANUEL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE SHARON CORDERO RN (ADMINISTRATOR)
(847) 658-3980
Entity
Organization
Contact information
Practice address
610 LAKE PLUMLEIGH WAY, ALGONQUIN, IL 60102-5018
(847) 658-3980
(847) 658-6093
Mailing address
610 LAKE PLUMLEIGH WAY, ALGONQUIN, IL 60102-5018
(847) 658-3980
(847) 658-6093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010621
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010621
IDPH LICENSE
IL
Enumeration date
10/28/2006
Last updated
10/19/2011
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