Organization
786 HOSPICE, ADULT AND PEDIATRIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOIZ KHAN (MEMBER)
(407) 765-1268
Entity
Organization
Contact information
Practice address
440 W IRVING PARK RD STE 3, ROSELLE, IL 60172-1138
(407) 765-1268
Mailing address
440 W IRVING PARK RD STE 3, ROSELLE, IL 60172-1138
(407) 765-1268
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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