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Ivory Waddell
Home Health Agency in Bellwood, Illinois
NPI 1801371471

Ivory Waddell is a Home Health Agency based in Bellwood, IL. Ivory Waddell practices in Bellwood, IL. The NPI Number for Ivory Waddell is 1801371471 and holds a License No. D14138856 (Illinois).

The current practice location address for Ivory Waddell is 3220 Adams St, Bellwood, IL and can be reached out via phone at 708-544-5677. You can also correspond with Ivory Waddell through the mailing address at 3220 ADAMS ST, BELLWOOD, IL - 60104-2232 (mailing address contact number: 708-544-5677).

Location: 3220 Adams St, Bellwood, IL, 60104-2232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801371471
Provider Name
Ivory Waddell
Credential
Provider Entity Type
Individual
Gender
Female
Address
3220 Adams St, Bellwood, IL, 60104-2232
Phone Number
708-544-5677
Fax Number
Provider Enumeration Date
09/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3220 Adams St
City
Bellwood
State
Illinois
Zip
60104-2232
Phone Number
708-544-5677
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Adams St
City
Bellwood
State
Illinois
Zip
60104-2232
Phone Number
708-544-5677
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
D14138856 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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