Organization
PHAD HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEACE RALSTON (OWNER)
(414) 858-8337
Entity
Organization
Contact information
Practice address
7077 N ASHLAND BLVD RM 2, CHICAGO, IL 60626-2724
(414) 858-8337
Mailing address
7077 N ASHLAND BLVD RM 2, CHICAGO, IL 60626-2724
(414) 858-8337
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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