Organization
REAL CONNECTIONS FIRST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON OPOOLA (CNO)
(773) 812-4240
Entity
Organization
Contact information
Practice address
6031 N KENMORE AVE, CHICAGO, IL 60660-5004
(773) 812-4240
Mailing address
6031 N KENMORE AVE, CHICAGO, IL 60660-5004
(773) 812-4240
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3123244130
IDENTIFIER
IL
Enumeration date
03/09/2020
Last updated
03/09/2020
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