Dove Mandela
NPI #1013376185 in Richton Park, Illinois
Provider Information
- NPI Number
- 1013376185
- Entity Type
- Organization
- Organization Name
- Dove Mandela
- Primary Specialty
- Home Health
- Enumeration Date
- Feb 18, 2016
- Last Updated
- Sep 23, 2016
Practice Location
- Address
- 22232 ROCKINGHAM RD
- City
- Richton Park
- State
- Illinois
- ZIP Code
- 60471-1119
- Phone
- (708) 200-4979
Authorized Official
- Name
- MR. MALCOLM MANDELA LEE SR.
- Title
- OWNER/DIRECTOR
- Phone
- (708) 200-4979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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