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Inner Man Holistic Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lansing, Illinois
NPI 1588422133

Inner Man Holistic Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lansing, IL. Inner Man Holistic Services Llc practices in Lansing, IL. The NPI Number for Inner Man Holistic Services Llc is 1588422133 and holds a License No. (Illinois).

The current practice location address for Inner Man Holistic Services Llc is 17601 Wentworth Ave, Lansing, IL and can be reached out via phone at 708-397-6200.

Location: 17601 Wentworth Ave, Lansing, IL, 60438-6032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588422133
Provider Name
Inner Man Holistic Services Llc
Credential
Provider Entity Type
Organization
Address
17601 Wentworth Ave, Lansing, IL, 60438-6032
Phone Number
708-397-6200
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
17601 Wentworth Ave
City
Lansing
State
Illinois
Zip
60438-2074
Phone Number
708-397-6200
Fax Number
person
Provider Business Mailing Address Details
Address
17601 Wentworth Ave
City
Lansing
State
Illinois
Zip
60438-2074
Phone Number
708-397-6200
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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