Organization
CARING HOME AND HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SAN LUIS (PRESIDENT)
(630) 336-5737
Entity
Organization
Contact information
Practice address
615 N PRINCETON AVE, VILLA PARK, IL 60181-1626
(630) 336-5737
Mailing address
615 N PRINCETON AVE, VILLA PARK, IL 60181-1626
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CP0347341
IL
Other
Enumeration date
10/15/2006
Last updated
08/22/2020
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