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NPI Code Detail

MEDICARE: SAMLAND HOME HEALTH CARE, INC.

MEDICARE: SAMLAND 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
1261QP2000XPhysical Therapy Clinic/Center001010361IL
2251E00000XHome Health Agency001010361IL

General Provider Information

NPI Number : 1922191105
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMLAND HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 4320 W MONTROSE AVE
Second Line : SUITE G
City : CHICAGO
State : IL
Zip : 60641-2016
Country : US
Telephone Number : 773-202-4720
Fax Number : 773-202-4725
Provider Business Practice Location Address
First Line : 4320 W MONTROSE AVE
Second Line : SUITE G
City : CHICAGO
State : IL
Zip : 60641-2016
Country : US
Telephone Number : 773-202-4720
Fax Number : 773-202-4725
Authorized Official
Title or Position : PRESIDENT
Name : MS. FLORA L. SAMPANG
Credential :
Telephone Number : 773-202-4720
Provider Enumeration Date : 10/02/2006
Last Update Date : 05/12/2014

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Directions to “SAMLAND HOME HEALTH CARE, INC. ” Practice Location

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