Organization
INNOVATIVE CARE HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP DE JONG (ADMINISTRATOR)
(708) 532-5773
Entity
Organization
Contact information
Practice address
18425 W CREEK DR, SUITE B, TINLEY PARK, IL 60477-6768
(708) 532-5773
(708) 532-1899
Mailing address
18425 W CREEK DR, SUITE B, TINLEY PARK, IL 60477-6768
(708) 532-5773
(708) 532-1899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
03/02/2010
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