Provider Demographics
NPI:1316204233
Name:REHOBOTH HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:REHOBOTH HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-863-9930
Mailing Address - Street 1:123 W WASHINGTON ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8214
Mailing Address - Country:US
Mailing Address - Phone:815-577-3747
Mailing Address - Fax:818-577-3748
Practice Address - Street 1:123 W WASHINGTON ST
Practice Address - Street 2:SUITE 325
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8214
Practice Address - Country:US
Practice Address - Phone:815-577-3747
Practice Address - Fax:815-577-3748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health