Icg Home Health
NPI #1386094068 in Richton Park, Illinois
Provider Information
- NPI Number
- 1386094068
- Entity Type
- Organization
- Organization Name
- Icg Home Health
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Jun 14, 2016
Practice Location
- Address
- 4508 CAMDEN CT
- City
- Richton Park
- State
- Illinois
- ZIP Code
- 60471-1147
- Phone
- (708) 369-1329
Authorized Official
- Name
- TIFFANIE DIONNE JOHNSON, REGISTERED NURSE
- Title
- HOME HEALTH RN
- Phone
- (708) 369-1329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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