Organization
MAHONEY HOME HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LEE CARTER JR. (CEO/PRESIDENT)
(773) 375-9300
Entity
Organization
Contact information
Practice address
9133 S STONY ISLAND AVE, SUITE 2, CHICAGO, IL 60617-3512
(773) 375-9300
(773) 375-9337
Mailing address
9133 S STONY ISLAND AVE, SUITE 2, CHICAGO, IL 60617-3512
(773) 375-9300
(773) 375-9337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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