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Diana Masny
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Joliet, Illinois
NPI 1326432279

Diana Masny is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Joliet, IL. Diana Masny practices in Joliet, IL. The NPI Number for Diana Masny is 1326432279 and holds a License No. (Illinois).

The current practice location address for Diana Masny is 100 Gougar Rd, Joliet, IL and can be reached out via phone at 815-485-8146.

Location: 100 Gougar Rd, Joliet, IL, 60432-9787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326432279
Provider Name
Diana Masny
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Gougar Rd, Joliet, IL, 60432-9787
Phone Number
815-485-8146
Fax Number
Provider Enumeration Date
03/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Gougar Rd
City
Joliet
State
Illinois
Zip
60432-9787
Phone Number
815-485-8146
Fax Number
person
Provider Business Mailing Address Details
Address
100 Gougar Rd
City
Joliet
State
Illinois
Zip
60432-9787
Phone Number
815-485-8146
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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