Organization
EDV INC.
Active
Other names
Homewatch CareGivers
Organization subpart
No
Provider details
NPI number
Authorized official
DENNISE VAUGHN (PRESIDENT)
(331) 702-9975
Entity
Organization
Contact information
Practice address
300 E 5TH AVE STE 380C, NAPERVILLE, IL 60563-3177
(331) 702-9975
(630) 355-4390
Mailing address
300 E 5TH AVE STE 380C, NAPERVILLE, IL 60563-3177
(331) 702-9975
(630) 355-4390
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3001543
IL
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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