PROVIDENCE HOME HEALTH CARE

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

147559

Ownership Type:

Voluntary Non Profit - Religious Affiliations

Date Certified:

03-30-1994

Address:

16300 SOUTH LOUIS AVE, SUITE B

City, State, Zip:

SOUTH HOLLAND , IL 60473

County:

COOK

Country:

Phone:

7083310400

Fax:

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