Organization
BETWEEN US LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAROYCE CLAY (OWNER)
(708) 793-3241
Entity
Organization
Contact information
Practice address
20055 MONTEREY AVE, LYNWOOD, IL 60411-1517
(708) 970-4538
Mailing address
20055 MONTEREY AVE, LYNWOOD, IL 60411-1517
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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