Lynnette Degraffenreid

NPI 1083736292 - Home Health - 251E00000X

NPI Details
NPI 1083736292
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYNNETTE LYNNETTE
Position SOLE PROPRIETOR
Phone (708) 596-9562
Fax (708) 260-9396
Practice Location
4880 CASTLE DARGAN DR
COUNTRY CLUB HILLS IL, 60478-5820, US
Phone (708) 596-9562
Fax (708) 260-9396
Business Location
PO BOX 2752
HARVEY IL, 60426-8752, US
Phone (708) 596-9562
Fax (708) 260-9396
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
Remove 1083736292 NPI Number
 

According to our database, Lynnette Degraffenreid NPI is 1083736292, taxonomy code is 251E00000X Lynnette Degraffenreid physically located at 4880 Castle Dargan Dr, Country Club Hills IL, 60478-5820. NPI Number 1033115704 has the healthcare provider type.

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1083736292 NPI number is provided on an as is basis without warranty of any kind. 1083736292 is maintained by the National Plan & Provider Enumeration System. The contents of Lynnette Degraffenreid are for informational purposes only.