PROVENA HOME HEALTH KANKAKEE

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

147105

Ownership Type:

Proprietary

Date Certified:

07-28-1972

Address:

179 E BETHEL DRIVE

City, State, Zip:

BOURBONNAIS , IL 60914

County:

KANKAKEE

Country:

Phone:

8159372475

Fax:

General Email:

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Services Offered by PROVENA HOME HEALTH KANKAKEE
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	Company Name	Address	City	State	Zip
1	GENTIVA HEALTH SERVICES	201 PARK PLACE SUITE 11	BOURBONNAIS	IL	60914