Organization Name: | EGRESS 5, INC. |
NPI Number: | 1265795868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH J. MUTI (OWNER) |
Mailing Address: | 115 S Wilke Rd Suite 201 Arlington Heights |
State: | IL US |
Postal Code: | 600051532 |
Phone Number: | 8472598767 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3000731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |