Healthcare Provider Details

I. General information

NPI: 1174354450
Provider Name (Legal Business Name): NALD SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ROSE HILL CT
ALGONQUIN IL
60102-6405
US

IV. Provider business mailing address

5 ROSE HILL CT
ALGONQUIN IL
60102-6405
US

V. Phone/Fax

Practice location:
  • Phone: 224-375-0455
  • Fax:
Mailing address:
  • Phone: 224-375-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH O OMOFONMWAN
Title or Position: MANAGER
Credential:
Phone: 224-375-0455