Organization
LAKEWOOD HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK BEASLEY (PRESIDENT)
(224) 565-6284
Entity
Organization
Contact information
Practice address
9205 S KEATING AVE, OAK LAWN, IL 60453-2582
(708) 229-8060
Mailing address
9205 S KEATING AVE, OAK LAWN, IL 60453-2582
(708) 229-8060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011347
IL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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