Provider Demographics
NPI:1326420092
Name:DENNY'S HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:DENNY'S HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOLIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN MPH
Authorized Official - Phone:708-271-3537
Mailing Address - Street 1:4912 ARQUILLA DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1654
Mailing Address - Country:US
Mailing Address - Phone:708-271-3537
Mailing Address - Fax:
Practice Address - Street 1:4912 ARQUILLA DRIVE
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471
Practice Address - Country:US
Practice Address - Phone:708-271-3537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001182253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3001182OtherIDPH