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NPI Code Detail

MEDICARE: ALLGREEN HOME HEALTH CARE INC

MEDICARE: ALLGREEN HOME HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1011024IL

General Provider Information

NPI Number : 1588994040
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLGREEN HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-262-1110
Fax Number :
Provider Business Practice Location Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-262-1110
Fax Number :
Authorized Official
Title or Position : PRESIDENT/DON
Name : MISS NIRMALA S PASALA
Credential : RN
Telephone Number : 773-262-1110
Provider Enumeration Date : 01/06/2010
Last Update Date : 01/06/2010

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Directions to “ALLGREEN HOME HEALTH CARE INC ” Practice Location

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