Organization
A&V HOMECARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR OLUDARE SHOLANKE MSW, MS, QIDP (ADMINISTRATOR)
(708) 535-4388
Entity
Organization
Contact information
Practice address
15000 CICERO AVE STE 2E, OAK FOREST, IL 60452-1481
(708) 535-4388
(708) 535-8221
Mailing address
15000 CICERO AVE STE 2E, OAK FOREST, IL 60452-1481
(708) 535-4388
(708) 535-8221
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
251E00000X
Home Health Agency
—
IL
253Z00000X
In Home Supportive Care Agency
Primary
—
IL
Other
Enumeration date
03/23/2012
Last updated
04/16/2014
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