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Malik Martiz Barnes
Adult Care Home Facility in Crete, Illinois
NPI 1609656313

Malik Martiz Barnes is an Adult Care Home Facility based in Crete, IL and is specialized in Adult Care Home. Malik Martiz Barnes practices in Crete, IL. The NPI Number for Malik Martiz Barnes is 1609656313 and holds a License No. (Illinois).

The current practice location address for Malik Martiz Barnes is 3494 Fairway Dr # 0, Crete, IL and can be reached out via phone at 708-466-7322.

Location: 3494 Fairway Dr # 0, Crete, IL, 60417-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609656313
Provider Name
Malik Martiz Barnes
Credential
Provider Entity Type
Individual
Gender
Male
Address
3494 Fairway Dr # 0, Crete, IL, 60417-1000
Phone Number
708-466-7322
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3494 Fairway Dr # 0
City
Crete
State
Illinois
Zip
60417-1000
Phone Number
708-466-7322
Fax Number
person
Provider Business Mailing Address Details
Address
3494 Fairway Dr # 0
City
Crete
State
Illinois
Zip
60417-1000
Phone Number
708-466-7322
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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