Organization Name: | NEW ERA SUPPORT SERVICES INC. |
NPI Number: | 1629436753 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTIANAH OMOBOLA OLATUNJI (OWNER/AGENCY MANAGER) |
Mailing Address: | 68 Main St Suite1 Oswego |
State: | IL US |
Postal Code: | 605439861 |
Phone Number: | 6306366892 |
Fax Number: | 6306369152 |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3000701 |
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 |