Organization · NPI-2

Abiding Angels, INC

In Home Supportive Care · Chicago, IL

NPI number1205109642
StatusActive
Last updated in NPPESFeb 15, 2012

Details

NPI
1205109642
Entity type
Organization (NPI-2)
Legal business name
Abiding Angels, INC
Organization subpart
No
Enumeration date
Feb 15, 2012
Last updated
Feb 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care3000863ILYes
253Z00000X In Home Supportive Care8000255IL

Practice location

4157 N Kenmore Ave
#3s
Chicago, IL 60613-6417

Phone 773-697-3448 · Fax 773-634-8468

Mailing address

4157 N Kenmore Ave
#3s
Chicago, IL 60613-6417

Phone 773-697-3448 · Fax 773-634-8468

Authorized official

Dallas Jansen Rodiek
Ceo
7736973448

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