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Shine On Me Inc. Of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Park Forest, Illinois
NPI 1538524236

Shine On Me Inc. Of Illinois is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Park Forest, IL. Shine On Me Inc. Of Illinois practices in Park Forest, IL. The NPI Number for Shine On Me Inc. Of Illinois is 1538524236 and holds a License No. 201400008C (Illinois).

The current practice location address for Shine On Me Inc. Of Illinois is 153 Nanti St, Park Forest, IL and can be reached out via phone at 708-506-3900.

Location: 153 Nanti St, Park Forest, IL, 60466-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538524236
Provider Name
Shine On Me Inc. Of Illinois
Credential
Provider Entity Type
Organization
Address
153 Nanti St, Park Forest, IL, 60466-2529
Phone Number
708-506-3900
Fax Number
Provider Enumeration Date
12/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20150923983310 05 IL
institution
Provider Business Practice Location Address Details
Address
153 Nanti St
City
Park Forest
State
Illinois
Zip
60466-2529
Phone Number
708-506-3900
Fax Number
person
Provider Business Mailing Address Details
Address
153 Nanti St
City
Park Forest
State
Illinois
Zip
60466-2529
Phone Number
708-506-3900
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.
201400008C (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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