Organization
RESTORATION HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW AWAKAN (OWNER)
(312) 735-5811
Entity
Organization
Contact information
Practice address
552 E 44TH ST, CHICAGO, IL 60653-3466
(312) 735-5811
Mailing address
552 E 44TH ST, CHICAGO, IL 60653-3466
(312) 735-5811
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3001336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001336
3001336
IL
Enumeration date
02/14/2017
Last updated
12/26/2017
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