His Grace Enterprise,inc
NPI #1235160987 in Park Forest, Illinois
Provider Information
- NPI Number
- 1235160987
- Entity Type
- Organization
- Organization Name
- His Grace Enterprise,inc
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 318 FOREST BLVD
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2005
- Phone
- (708) 283-0743
Authorized Official
- Name
- MR. OGUNWALE TOLULOPE FOLAJU, M.D
- Title
- ADMINISTRATOR
- Phone
- (708) 283-0743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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