Jac Care At Home, LLC
In Home Supportive Care in Palos Heights, IL. Organization (NPI-2).
NPI number1124729751
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1124729751
- Entity type
- Organization (NPI-2)
- Legal business name
- Jac Care At Home, LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2023
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
6501 W 126th PlPalos Heights, IL 60463-1708
Phone 708-897-8772 · Fax 708-942-8929
Mailing address
6501 W 126th PlacePalos Heights, IL 60463
Phone 708-897-8772 · Fax 708-942-8929
Authorized official
Cherrylyn Cardenas Gruenberg
Administrator
7088978772
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All 9 In Home Supportive Care Agency providers in Palos Heights · All 1,350 providers in Palos Heights
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