Organization
OASIS OF CARE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMENCITA GUY AGNO RN (OWNER)
(847) 329-5270
Entity
Organization
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 123, LINCOLNWOOD, IL 60712-1709
(847) 329-5270
(847) 329-5271
Mailing address
7301 N LINCOLN AVE, SUITE 123, LINCOLNWOOD, IL 60712-1709
(847) 329-5270
(847) 329-5271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011026
HOME HEALTH AGENCY LICENSE
IL
01
—
14D1102109
CLIA
IL
Enumeration date
11/30/2010
Last updated
11/30/2010
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