Organization
GENUINE CARE ADULT SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENA L. BANSA (ADMINISTRATOR)
(773) 338-8603
Entity
Organization
Contact information
Practice address
7313 N WESTERN AVE, CHICAGO, IL 60645-1813
(773) 338-8603
Mailing address
7313 N WESTERN AVE, CHICAGO, IL 60645-1813
(773) 338-8603
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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