Organization
A 1 SALEM HEALTHCARE C ONSULTANT INC.
Active
Other names
A-1 Salem Home Healthcare/Homemaker & Consultant Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON NWOKENKWO (PRESIDENT)
(708) 257-6018
Entity
Organization
Contact information
Practice address
187 S SCHUYLER AVE, SUITE 310, KANKAKEE, IL 60901-3831
(708) 401-3334
(708) 401-4095
Mailing address
187 S SCHUYLER AVE, SUITE 310, KANKAKEE, IL 60901-3831
(708) 401-3334
(708) 401-4095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011459
IDPH LICENSE #
IL
Enumeration date
11/06/2011
Last updated
10/11/2013
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