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Lutheran Social Services Of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sterling, Illinois
NPI 1063685444

Lutheran Social Services Of Illinois is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Des Plaines, IL. Lutheran Social Services Of Illinois practices in Sterling, IL. The NPI Number for Lutheran Social Services Of Illinois is 1063685444 and holds a License No. 926169 (Illinois).

The current practice location address for Lutheran Social Services Of Illinois is 104 6Th Ave, Sterling, IL and can be reached out via phone at 815-625-8571 and via fax at 815-625-8593.

Location: 104 6Th Ave, Sterling, IL, 60018-5801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063685444
Provider Name
Lutheran Social Services Of Illinois
Credential
Provider Entity Type
Organization
Address
104 6Th Ave, Sterling, IL, 60018-5801
Phone Number
815-625-8571
Fax Number
815-625-8593
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926169 01 IL DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
104 6Th Ave
City
Sterling
State
Illinois
Zip
61081-3919
Phone Number
815-625-8571
Fax Number
815-625-8593
person
Provider Business Mailing Address Details
Address
104 6Th Ave
City
Sterling
State
Illinois
Zip
61081-3919
Phone Number
815-625-8571
Fax Number
815-625-8593
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.
926169 (Illinois)
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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