OrganizationAunt Marthas Youth Service Center Inc(Aunt Marthas Harvey Community Health Center)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address159 E 154th St, Harvey, IL 60426-3325(708) 747-7100PECOS EnrollmentBased on the most recent information from CMS, provider Aunt Marthas Youth Service Center Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1184764730Provider TypeOrganizationFull NameAunt Marthas Youth Service Center IncOther NameAunt Marthas Harvey Community Health CenterSubpartNoEnumeration Date2/6/2007Last Updated7/21/2022Contact InformationPractice LocationPractice Address159 E 154th St, Harvey, IL 60426-3325Phone(708) 747-7100FaxUnlisted FaxMailing LocationMailing Address19990 Governors Hwy, Olympia Fields, IL 60461-1021Phone(708) 747-7100FaxUnlisted FaxAuthorized OfficialNameNordloh, Christopher J (Cfo)Phone(708) 747-7100Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense029Illinois