Organization
HOSS B, LLC
Active
Other names
Broad Street Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL CROSS (ADMINISTRATOR)
(847) 728-0134
Entity
Organization
Contact information
Practice address
1229 GREEN BAY RD, WILMETTE, IL 60091-1679
(847) 728-0134
(888) 263-1945
Mailing address
1229 GREEN BAY RD, WILMETTE, IL 60091-1679
(847) 728-0134
(888) 263-1945
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3001291
IL
Other
Enumeration date
03/16/2017
Last updated
03/20/2017
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