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Benjamin Green Field Residence
Intellectual Disabilities Intermediate Care Facility in Libertyville, Illinois
NPI 1275707127

Benjamin Green Field Residence is a Intellectual Disabilities Intermediate Care Facility based in Libertyville, IL. Benjamin Green Field Residence practices in Libertyville, IL. The NPI Number for Benjamin Green Field Residence is 1275707127 and holds a License No. 000041582 (Illinois).

The current practice location address for Benjamin Green Field Residence is 14245 W Rockland Rd, Libertyville, IL and can be reached out via phone at 847-362-4636 and via fax at 847-362-0742.

Location: 14245 W Rockland Rd, Libertyville, IL, 60048-0520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275707127
Provider Name
Benjamin Green Field Residence
Credential
Provider Entity Type
Organization
Address
14245 W Rockland Rd, Libertyville, IL, 60048-0520
Phone Number
847-362-4636
Fax Number
847-362-0742
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14245 W Rockland Rd
City
Libertyville
State
Illinois
Zip
60048-9713
Phone Number
847-362-4636
Fax Number
847-362-0742
person
Provider Business Mailing Address Details
Address
14245 W Rockland Rd
City
Libertyville
State
Illinois
Zip
60048-9713
Phone Number
847-362-4636
Fax Number
847-362-0742
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
000041582 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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