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Tanni Supportive Living
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waukegan, Illinois
NPI 1356925929

Tanni Supportive Living is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Waukegan, IL. Tanni Supportive Living practices in Waukegan, IL. The NPI Number for Tanni Supportive Living is 1356925929 and holds a License No. (Illinois).

The current practice location address for Tanni Supportive Living is 2698 Belvidere Rd Unit A01B, Waukegan, IL and can be reached out via phone at 847-868-3003 and via fax at 224-252-2997.

Location: 2698 Belvidere Rd Unit A01B, Waukegan, IL, 60085-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356925929
Provider Name
Tanni Supportive Living
Credential
Provider Entity Type
Organization
Address
2698 Belvidere Rd Unit A01B, Waukegan, IL, 60085-6006
Phone Number
847-868-3003
Fax Number
224-252-2997
Provider Enumeration Date
05/10/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13876593 01 IL CAQH
institution
Provider Business Practice Location Address Details
Address
2698 Belvidere Rd Unit A01B
City
Waukegan
State
Illinois
Zip
60085-6006
Phone Number
847-868-3003
Fax Number
224-252-2997
person
Provider Business Mailing Address Details
Address
2698 Belvidere Rd Unit A01B
City
Waukegan
State
Illinois
Zip
60085-6006
Phone Number
847-868-3003
Fax Number
224-252-2997
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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