Diversity Health Crae, INC
NPI #1093113946 in Evergreen Park, Illinois
Provider Information
- NPI Number
- 1093113946
- Entity Type
- Organization
- Organization Name
- Diversity Health Crae, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DINAMIC HEALTH CARE, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 9, 2014
- Last Updated
- Dec 9, 2014
Practice Location
- Address
- 9141 S KEDZIE AVE
- City
- Evergreen Park
- State
- Illinois
- ZIP Code
- 60805-1606
- Phone
- (708) 983-4623
Authorized Official
- Name
- VERNICE NELSON, RN
- Title
- ADMINISTRATOR/PRESIDENT
- Phone
- (708) 983-4623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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