Organization
CORPSMAN UP FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A DAVIS II (CEO)
(708) 275-7494
Entity
Organization
Contact information
Practice address
1156 HARDING AVE, CALUMET CITY, IL 60409-2451
(708) 275-7494
Mailing address
1156 HARDING AVE, CALUMET CITY, IL 60409-2451
(708) 275-7494
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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