Organization
SAMLAND HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA SAMPANG (PRESIDENT)
(773) 283-2525
Entity
Organization
Contact information
Practice address
4320 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 283-2525
Mailing address
4320 W MONTROSE AVE, CHICAGO, IL 60641-2016
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3000475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000475
IDPH LICENSE
IL
Enumeration date
01/30/2012
Last updated
01/30/2012
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