Organization
CIRCLE OF FRIENDS HOME HEALTH CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHIR KUMAR OTR/L (ADMINISTRATOR)
(708) 442-4962
Entity
Organization
Contact information
Practice address
7848 W ODGEN AVE, LYONS, IL 60534-1389
(708) 442-4962
(708) 442-4962
Mailing address
7848 W. OGDEN AVE-B EAST, LYONS, IL 60534-1389
(708) 442-4962
(708) 442-4962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
APPLIED FOR
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR LICENSUR
—
IL
Enumeration date
03/02/2009
Last updated
03/02/2009
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