Organization
RENAISSANCE ADULT DAY IN HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN E. HICKS (PROGRAM ADMINISTRATOR)
(773) 723-9670
Entity
Organization
Contact information
Practice address
7920 S GREENWOOD AVE, CHICAGO, IL 60619-3318
(773) 723-9670
(773) 723-9677
Mailing address
7920 S GREENWOOD AVE, CHICAGO, IL 60619-3318
(773) 723-9670
(773) 723-9677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
001
IL
Other
Enumeration date
03/26/2008
Last updated
07/21/2022
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