PROFESSIONAL HOME CARE ADVANTA

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

147660

Ownership Type:

Proprietary

Date Certified:

01-09-1997

Address:

80 RIVER OAKS CENTER

City, State, Zip:

CALUMET CITY , IL 60409

County:

COOK

Country:

Phone:

7088912013

Fax:

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