| NPI | 1700100971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT FITZPATRICK President 815-472-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 6-374) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IL 0002865) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |