Provider Demographics
NPI:1558631887
Name:SALUD Y VIDA HEALTH CARE LLC
Entity Type:Organization
Organization Name:SALUD Y VIDA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-509-5656
Mailing Address - Street 1:3336 W LAWRENCE AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-5212
Mailing Address - Country:US
Mailing Address - Phone:773-509-5656
Mailing Address - Fax:773-509-5830
Practice Address - Street 1:3336 W LAWRENCE AVE STE 302
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-5212
Practice Address - Country:US
Practice Address - Phone:773-509-5656
Practice Address - Fax:773-509-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011466251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health