Individual
MYIESHA HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15432 PARK LN, SOUTH HOLLAND, IL 60473-1365
(708) 537-0094
Mailing address
15432 PARK LN, SOUTH HOLLAND, IL 60473-1365
(708) 537-0094
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
03/11/2025
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