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FAVOR IN THE LAND

Active
Other names
caregivingservice
Organization subpart
No

Provider details

NPI number
Authorized official
ALFREDA THOMPSON (OWNER)
13123150748
Entity
Organization

Contact information

Practice address
150 N MASON AVE, SUITE 1, CHICAGO, IL 60644-2801
(131) 231-5074
Mailing address
150 N MASON AVE, SUITE 1, CHICAGO, IL 60644-2801
(131) 231-5074

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1916239
IL

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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