Provider Demographics
NPI:1528368412
Name:FEDERAL HEALTH SUPPORT SERVICES
Entity Type:Organization
Organization Name:FEDERAL HEALTH SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-303-4600
Mailing Address - Street 1:2600 W WALTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4533
Mailing Address - Country:US
Mailing Address - Phone:773-303-4600
Mailing Address - Fax:773-303-4600
Practice Address - Street 1:2600 W WALTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-4533
Practice Address - Country:US
Practice Address - Phone:773-303-4600
Practice Address - Fax:773-303-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health