NPI | 1538411764 |
---|---|
Doing Business As | DAVIS HOUSE |
Entity Type | Organization |
Authorized Contact | KEN FRIES Dir Qa&C 630-744-9431 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2012-10-11 |
Last Update Date | 2025-05-06 |