Provider Demographics
NPI:1083736292
Name:LYNNETTE DEGRAFFENREID
Entity Type:Organization
Organization Name:LYNNETTE DEGRAFFENREID
Other - Org Name:BECAUSE WE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGRAFFENREID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-596-9562
Mailing Address - Street 1:PO BOX 2752
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-8752
Mailing Address - Country:US
Mailing Address - Phone:708-596-9562
Mailing Address - Fax:708-260-9396
Practice Address - Street 1:4880 CASTLE DARGAN DR
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5820
Practice Address - Country:US
Practice Address - Phone:708-596-9562
Practice Address - Fax:708-260-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health