Organization
ARCHANGEL HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABAYOMI GABRIEL OMOMO RN (ADMINISTRATOR)
(708) 248-7084
Entity
Organization
Contact information
Practice address
1511 N. CONVENT 700-193, BOURBONNAIS, IL 60914
(708) 248-7084
Mailing address
1511 N. CONVENT 700-193, BOURBONNAIS, IL 60914
(708) 248-7084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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