Magnificent Home Healthcare, LLC
NPI #1063641355 in Evergreen Park, Illinois
Provider Information
- NPI Number
- 1063641355
- Entity Type
- Organization
- Organization Name
- Magnificent Home Healthcare, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 8, 2009
- Last Updated
- Sep 1, 2009
Practice Location
- Address
- 3345 W 95TH ST
- City
- Evergreen Park
- State
- Illinois
- ZIP Code
- 60805-2234
- Phone
- (708) 499-0321
Authorized Official
- Name
- MR. BERNARD A JAVATE
- Title
- ASSISTANT ADMINISTRATOR
- Phone
- (708) 499-0321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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