Organization
PASSIONATE PRIVATE DUTY, LLC
Active
Organization
PASSIONATE PRIVATE DUTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE A JENSEN (EXECUTIVE DIRECTOR)
(847) 975-3950
Entity
Organization
Contact information
Practice address
2401 W US HIGHWAY 20, PINGREE GROVE, IL 60140-8818
(847) 975-3950
(847) 792-0600
Mailing address
2401 W US HIGHWAY 20 STE 202, PINGREE GROVE, IL 60140-8819
(847) 975-3950
(847) 972-0600
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4000558
IL
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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