Healthcare Provider Details

I. General information

NPI: 1518301258
Provider Name (Legal Business Name): FAVOUR HEALTH CARE SERVICES & STAFFING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 01/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S SCHUYLER AVE STE 145
KANKAKEE IL
60901-5166
US

IV. Provider business mailing address

555 S SCHUYLER AVE STE 145
KANKAKEE IL
60901-5166
US

V. Phone/Fax

Practice location:
  • Phone: 815-401-5244
  • Fax: 815-523-7365
Mailing address:
  • Phone: 815-401-5244
  • Fax: 815-523-7365

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: VICTOR OLADIPUPO
Title or Position: PRESIDENT
Credential:
Phone: 773-593-5913