Dezyeve Priority Homecare LLC
NPI #1609529536 in Montgomery, Illinois
Provider Information
- NPI Number
- 1609529536
- Entity Type
- Organization
- Organization Name
- Dezyeve Priority Homecare LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 31, 2022
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 2514 CALIENDO CIR
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-4015
- Phone
- (331) 980-9016
Authorized Official
- Name
- NKENG NGWEMOH
- Title
- ADMINISTRATOR
- Phone
- (331) 980-9016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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