ST. MARY OF PROVIDENCE

CHICAGO, IL
NPI1588842470
Doing Business AsROSE ANGELA HALL
Entity TypeOrganization
Authorized ContactRITA M BUTLER
Director
773-545-8300
Organization Subpart ?Yes
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: IL  0033761)
Enumeration Date2008-02-04
Last Update Date2008-02-04
Business Address
ST. MARY OF PROVIDENCE
4200 N AUSTIN AVE
CHICAGO, IL 60634-1615
Phone number: 773-545-8300
Mailing Address
ST. MARY OF PROVIDENCE
4200 N AUSTIN AVE
CHICAGO, IL 60634-1615
Phone number: 773-545-8300