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Organization

HOME CARE KINECT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY MARTINEZ WHITE (AGENCY MANAGER)
(708) 704-2851
Entity
Organization

Contact information

Practice address
1136 S DELANO CT W STE B201, CHICAGO, IL 60605-3734
(312) 528-3200
Mailing address
3560 S GILES AVE UNIT 3, CHICAGO, IL 60653-1159
(708) 704-2851

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
385H00000X
Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
03/18/2019
Last updated
03/18/2019
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