Organization
SSANJJEMMA CARE PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN J. TOQUE (OWNER/MANAGER)
(773) 495-9668
Entity
Organization
Contact information
Practice address
3622 SALEM WALK APT A2, NORTHBROOK, IL 60062-7331
(773) 495-9668
Mailing address
3622 SALEM WALK APT A2, NORTHBROOK, IL 60062-7331
(773) 495-9668
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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