Organization
ADVANCE LIFE MANAGEMENT, LLC
Active
Other names
ADVANCE LIFECARE HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CUSTARDO J.D. (ADMINISTRATOR)
(630) 852-5700
Entity
Organization
Contact information
Practice address
3590 HOBSON RD, SUITE 402, WOODRIDGE, IL 60517-5409
(630) 852-5700
(630) 852-5600
Mailing address
3590 HOBSON RD, SUITE 402, WOODRIDGE, IL 60517-5409
(630) 852-5700
(630) 852-5600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011767
IL
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
About Stedi
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