NPI | 1447610027 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SCHUETH Controller 773-273-4191 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0054064) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2016-08-01 |