| NPI | 1477231231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKETTA MCCOLLOUGH Managing Member 773-656-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-17 |