NPI | 1396049391 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS HEGG Administrator 773-273-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0050393) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2011-01-05 |