NPI 1003191032
Call Kelley
Practice location
- Address
- 102 Williamsburg Ln, Bolingbrook, IL 60440-2915
- Phone
- (630) 749-0519
Authorised official
- Name
- Kelley Manges
- Title
- Owner
- Phone
- (630) 863-5235
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003191032
- Entity type
- Organization
- NPI issued
- 21 Oct 2011
- Record last updated
- 21 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.