Organization
LIGHTS OF ZION MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARAINA MICKENS (PROGRAM MANAGER)
(773) 785-2996
Entity
Organization
Contact information
Practice address
11636 S HALSTED ST, CHICAGO, IL 60628-5220
(773) 785-2996
(773) 785-3319
Mailing address
11636 S HALSTED ST, CHICAGO, IL 60628-5220
(773) 785-2996
(773) 785-3319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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