Organization
HEALING TO HEAL ANOTHER HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAZDAR K MOHAMMAD (ADMINISTRATOR)
(773) 253-4750
Entity
Organization
Contact information
Practice address
1460 RENAISSANCE DR STE 403, PARK RIDGE, IL 60068-1349
(773) 253-4750
(773) 649-9217
Mailing address
1460 RENAISSANCE DR STE 403, PARK RIDGE, IL 60068-1349
(773) 253-4750
(773) 649-9217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1011040
IL
251E00000X
Home Health Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011040
IDPH
IL
Enumeration date
04/19/2009
Last updated
10/10/2018
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