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CHARLES KINNEY

Chore Provider

NPI: 1568262525Individual

Specialties, Licenses & Credentials

Voluntary or Charitable

Code: 251V00000X

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

Chore Provider

Code: 372500000X

Contact & Hours

Address
112 W PARK ST APT 1E
ELWOOD, IL 60421

Quick Facts

NPI
1568262525
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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