| Organization Name: | LONG FAMILY SERVICES, INC |
| NPI Number: | 1952747065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL R LONG (PRESIDENT) |
| Mailing Address: | 540 W Frontage Rd 3225 Northfield |
| State: | IL US |
| Postal Code: | 600931250 |
| Phone Number: | 8478812888 |
| Fax Number: | 8478812799 |
| NPI Enumeration Date: | 05/15/2013 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HF102811 |
| 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 |