Organization Name: | HOME BOUND HEALTHCARE OUTPATIENT THERAPY SERVICES, LLC |
NPI Number: | 1265686539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROMY M. MACASAET (PRESIDENT) |
Mailing Address: | 2930 Mannheim Rd Unit 1b Franklin Park |
State: | IL US |
Postal Code: | 601312265 |
Phone Number: | 8472881650 |
Fax Number: | 8472881660 |
NPI Enumeration Date: | 11/12/2008 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |