Organization
AMAZING GRACE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE OLUJIMI RN (DIRECTOR)
(312) 550-6957
Entity
Organization
Contact information
Practice address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
(312) 550-6957
(708) 596-5687
Mailing address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
(312) 550-6957
(708) 596-5687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002026
HOME SERVICES AGENCY
IL
01
—
4000698
HOME NURSING AGENCY
IL
Enumeration date
07/08/2021
Last updated
09/10/2022
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