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Kwanza Suites Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Evergreen Park, Illinois
NPI 1619329604

Kwanza Suites Corporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Evergreen Park, IL. Kwanza Suites Corporation practices in Evergreen Park, IL. The NPI Number for Kwanza Suites Corporation is 1619329604 and holds a License No. (Illinois).

The current practice location address for Kwanza Suites Corporation is 9652 S Francisco Ave, Evergreen Park, IL and can be reached out via phone at 708-425-0193.

Location: 9652 S Francisco Ave, Evergreen Park, IL, 60805-2710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619329604
Provider Name
Kwanza Suites Corporation
Credential
Provider Entity Type
Organization
Address
9652 S Francisco Ave, Evergreen Park, IL, 60805-2710
Phone Number
708-425-0193
Fax Number
Provider Enumeration Date
07/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9652 S Francisco Ave
City
Evergreen Park
State
Illinois
Zip
60805-2710
Phone Number
708-425-0193
Fax Number
person
Provider Business Mailing Address Details
Address
9652 S Francisco Ave
City
Evergreen Park
State
Illinois
Zip
60805-2710
Phone Number
708-425-0193
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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