Organization
GRACE HOME CAREGIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KINGSLEY OSHO OHIKU (ADMINISTRATOR)
(779) 324-5802
Entity
Organization
Contact information
Practice address
20698 EAGLE BLUFF CT, FRANKFORT, IL 60423
(779) 324-5802
(815) 534-5492
Mailing address
20698 EAGLE BLUFF CT, FRANKFORT, IL 60423-3511
(779) 324-5802
(815) 534-5492
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3001158
IL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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