Organization
IRVING URBAN DEVELOPMENT
Active
Other names
heart and soul house
Organization subpart
No
Provider details
NPI number
Authorized official
CICELY GARDNER (PRESIDENT)
(773) 557-9492
Entity
Organization
Contact information
Practice address
739 N AUSTIN BLVD # 3, CHICAGO, IL 60644-1004
(773) 969-8945
Mailing address
739 N AUSTIN BLVD # 3, CHICAGO, IL 60644-1004
(773) 969-8945
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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