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Organization

MLM HOMECARE

Active
Other names
Visiting Angels Libertyville
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA LASSITER (CASE MANAGER)
(847) 996-0888
Entity
Organization

Contact information

Practice address
14048 W PETRONELLA DR, SUITE 102, LIBERTYVILLE, IL 60048-9699
(847) 996-0888
(847) 996-0899
Mailing address
14048 W PETRONELLA DR, SUITE 102, LIBERTYVILLE, IL 60048-9699
(847) 996-0888
(847) 996-0899

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000144
IL

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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