Organization
PRIME CARE RESOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON MONZON (ADMINISTRATOR)
(847) 827-4448
Entity
Organization
Contact information
Practice address
1420 RENAISSANCE DR STE 410, PARK RIDGE, IL 60068-1345
(847) 827-4448
(847) 827-6448
Mailing address
1420 RENAISSANCE DR STE 410, PARK RIDGE, IL 60068-1345
(847) 827-6448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1006683
IL
Other
Enumeration date
02/07/2007
Last updated
10/18/2011
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