Organization
GLADSTONE PROPERTIES LLC
Active
Other names
Gladstone Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRAE LEMOYNE PARKS R.T.(T),MBS,CSCM (ADMINISTRATOR)
(630) 581-8513
Entity
Organization
Contact information
Practice address
100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
(630) 581-8513
Mailing address
100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
(630) 581-8513
(630) 581-8612
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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