Provider Demographics
NPI:1841803558
Name:CITYCARE SERVICES INC
Entity Type:Organization
Organization Name:CITYCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:OWOKONU
Authorized Official - Last Name:ODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-890-0990
Mailing Address - Street 1:402 MOZART CT
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2056
Mailing Address - Country:US
Mailing Address - Phone:708-890-0990
Mailing Address - Fax:
Practice Address - Street 1:402 MOZART CT
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2056
Practice Address - Country:US
Practice Address - Phone:708-890-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care