OrganizationAunt Martha'S Youth Service Center, Inc.Clinic/CenterAmbulatory Health Care FacilitiesPractice Address15420 Dixie Hwy, Harvey, IL 60426-3478(877) 692-8686PECOS EnrollmentBased on the most recent information from CMS, provider Aunt Martha'S 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 ID1205386638Provider TypeOrganizationFull NameAunt Martha'S Youth Service Center, Inc.SubpartNoEnumeration Date10/10/2016Last Updated10/10/2016Contact InformationPractice LocationPractice Address15420 Dixie Hwy, Harvey, IL 60426-3478Phone(877) 692-8686FaxUnlisted FaxMailing LocationMailing Address19990 Governors Hwy, Olympia Fields, IL 60461-1021PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNamePennington, Audrey (Executive Vp Of Health)Phone(773) 802-7645Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer