Organization
LIFELINE HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JONIE JOSEPHINE DESUYO RN (ADMINISTRATOR)
(773) 271-4115
Entity
Organization
Contact information
Practice address
5555 N SHERIDAN RD, SUITE 024, CHICAGO, IL 60640-1601
(773) 271-4115
Mailing address
5555 N SHERIDAN RD, SUITE 024, CHICAGO, IL 60640-1601
(773) 271-4115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010427
IL
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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