Organization
ADMIRAL HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN AZCONA RN (AGENCY SUPERVISOR)
(847) 410-8750
Entity
Organization
Contact information
Practice address
2504 WASHINGTON ST, SUITE 201-5, WAUKEGAN, IL 60085-4983
(847) 410-8750
(847) 655-2709
Mailing address
2504 WASHINGTON ST, SUITE 201-5, WAUKEGAN, IL 60085-4983
(847) 410-8750
(847) 655-2709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010623
STATE LICENCE
IL
Enumeration date
06/11/2007
Last updated
08/22/2020
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