Organization
WOUNDED HEARTS LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTIONIO LARNELL FLOWERS SR. (MANAGER)
(708) 897-1155
Entity
Organization
Contact information
Practice address
628 E 89TH PL, CHICAGO, IL 60619-6834
(708) 897-1155
Mailing address
628 E 89TH PL, CHICAGO, IL 60619-6834
(708) 897-1155
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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