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Organization

POINT OF CARE HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DELESHIA KINNEY (ADMINISTRATOR)
(765) 387-7404
Entity
Organization

Contact information

Practice address
2423 E 75TH ST, CHICAGO, IL 60649-3715
(765) 387-7404
Mailing address
7410 S PAXTON AVE, CHICAGO, IL 60649-3215
(312) 967-9933

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1012068
HOME HEALTH LICENSE
IL
Enumeration date
04/05/2022
Last updated
06/28/2022
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