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Elece Douglas
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hazel Crest, Illinois
NPI 1578898649

Elece Douglas is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hazel Crest, IL. Elece Douglas practices in Hazel Crest, IL. The NPI Number for Elece Douglas is 1578898649 and holds a License No. (Illinois).

The current practice location address for Elece Douglas is 17309 Holmes Ave, Hazel Crest, IL and can be reached out via phone at 708-335-3519 and via fax at 708-335-3519.

Location: 17309 Holmes Ave, Hazel Crest, IL, 60429-1710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578898649
Provider Name
Elece Douglas
Credential
Provider Entity Type
Organization
Address
17309 Holmes Ave, Hazel Crest, IL, 60429-1710
Phone Number
708-335-3519
Fax Number
708-335-3519
Provider Enumeration Date
10/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17309 Holmes Ave
City
Hazel Crest
State
Illinois
Zip
60429-1710
Phone Number
708-335-3519
Fax Number
708-335-3519
person
Provider Business Mailing Address Details
Address
17309 Holmes Ave
City
Hazel Crest
State
Illinois
Zip
60429-1710
Phone Number
708-335-3519
Fax Number
708-335-3519
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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