Provider Demographics
NPI:1922277961
Name:PAL HOME CARE
Entity Type:Organization
Organization Name:PAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-235-4742
Mailing Address - Street 1:14728 DOBSON AVE
Mailing Address - Street 2:#REAR
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-2313
Mailing Address - Country:US
Mailing Address - Phone:630-235-4742
Mailing Address - Fax:708-274-1400
Practice Address - Street 1:14728 DOBSON AVE
Practice Address - Street 2:#REAR
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-2313
Practice Address - Country:US
Practice Address - Phone:630-235-4742
Practice Address - Fax:708-274-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health