Organization
MIDWEST HOME HEALTH CARE OF FRANKFORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETRONILO BANATIN ALDEZA REGISTERED NURSE (PRESIDENT)
(815) 277-2631
Entity
Organization
Contact information
Practice address
8936 CHARRINGTON DR, FRANKFORT, IL 60423-9447
(815) 277-2631
(815) 277-2632
Mailing address
8936 CHARRINGTON DR, FRANKFORT, IL 60423-9447
(815) 277-2631
(815) 277-2632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
041204358
IL
251E00000X
Home Health Agency
Primary
041212612
IL
251E00000X
Home Health Agency
041219995
IL
Other
Enumeration date
01/27/2009
Last updated
07/28/2011
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