| NPI | 1134725062 |
|---|---|
| Former Legal Business Name | ANGELS BY YOUR SIDE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHANDASIRI THUMBAGE Owner 815-451-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |