Organization
TRU-CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMERLIN SODUSTA DPT (CEO)
(847) 329-0066
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE STE 346, SKOKIE, IL 60077-3783
(847) 329-0066
(847) 915-6548
Mailing address
9933 LAWLER AVE STE 346, SKOKIE, IL 60077-3783
(847) 329-0066
(847) 915-6548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010642
—
IL
Enumeration date
01/18/2007
Last updated
03/06/2024
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