Provider Demographics
NPI:1033939277
Name:WALKS OF LIFE HOME CARE SERVICES, LLC.
Entity type:Organization
Organization Name:WALKS OF LIFE HOME CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-242-1556
Mailing Address - Street 1:4200 COMMERCE CT STE 300
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3613
Mailing Address - Country:US
Mailing Address - Phone:815-242-1556
Mailing Address - Fax:
Practice Address - Street 1:4200 COMMERCE CT STE 300
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-3613
Practice Address - Country:US
Practice Address - Phone:815-242-1556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care