Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
(773) 249-9362
Mailing address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
INH1612051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
INH1612051
—
IL
Enumeration date
06/13/2016
Last updated
11/01/2018
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