Organization
SOLEDAD SOCIAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE FUTOTANA (SECRETARY)
(773) 706-9308
Entity
Organization
Contact information
Practice address
7107 W BELMONT AVE STE 1, CHICAGO, IL 60634-4500
(773) 481-9096
Mailing address
7107 W BELMONT AVE STE 1, CHICAGO, IL 60634-4500
(773) 481-9096
(773) 622-8385
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
200900006C
IL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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