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A Great Place To Stay Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lake Villa, Illinois
NPI 1053949404

A Great Place To Stay Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Beaver Dam, IL. A Great Place To Stay Llc practices in Lake Villa, IL. The NPI Number for A Great Place To Stay Llc is 1053949404 and holds a License No. (Illinois).

The current practice location address for A Great Place To Stay Llc is 35580 N Knowles Rd, Lake Villa, IL and can be reached out via phone at 920-204-2722.

Location: 35580 N Knowles Rd, Lake Villa, IL, 53916-2204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053949404
Provider Name
A Great Place To Stay Llc
Credential
Provider Entity Type
Organization
Address
35580 N Knowles Rd, Lake Villa, IL, 53916-2204
Phone Number
920-204-2722
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
35580 N Knowles Rd
City
Lake Villa
State
Illinois
Zip
60046-9026
Phone Number
920-204-2722
Fax Number
person
Provider Business Mailing Address Details
Address
35580 N Knowles Rd
City
Lake Villa
State
Illinois
Zip
60046-9026
Phone Number
920-204-2722
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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