Organization
KINGSCARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEACE RALSTON (OWNER)
(347) 460-3202
Entity
Organization
Contact information
Practice address
7077 N ASHLAND BLVD, CHICAGO, IL 60626-2724
(347) 460-3202
Mailing address
7077 N ASHLAND BLVD, CHICAGO, IL 60626-2724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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