Organization
PLATINUM HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTELITO ESPANO JR. (PRESIDENT)
(708) 995-7758
Entity
Organization
Contact information
Practice address
16634 107TH ST, ORLAND PARK, IL 60467-8898
(708) 995-7758
(708) 995-7986
Mailing address
16634 107TH ST, ORLAND PARK, IL 60467-8898
(708) 995-7758
(708) 995-7986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL10104096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL1010409
ILLINOIS LICENSE
IL
Enumeration date
06/19/2006
Last updated
11/06/2013
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