NPI | 1639348691 |
---|---|
Doing Business As | COLUMBUS MANOR RESIDENTIAL CARE HOME |
Entity Type | Organization |
Authorized Contact | AFZAL LOKHANDWALA President 630-664-6048 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 0007781) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2016-10-06 |