Provider Demographics
NPI:1306030556
Name:URHAI COMMUNITY SERVICE CENTER
Entity Type:Organization
Organization Name:URHAI COMMUNITY SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINDO
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:773-275-2688
Mailing Address - Street 1:2945 W PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3811
Mailing Address - Country:US
Mailing Address - Phone:773-275-2688
Mailing Address - Fax:773-275-2599
Practice Address - Street 1:2945 W PETERSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3811
Practice Address - Country:US
Practice Address - Phone:773-275-2688
Practice Address - Fax:773-275-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty