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Covenant Enabling Residences Of Illinois
Intellectual Disabilities Intermediate Care Facility in Oak Forest, Illinois
NPI 1659559292

Covenant Enabling Residences Of Illinois is a Intellectual Disabilities Intermediate Care Facility based in Oak Forest, IL. Covenant Enabling Residences Of Illinois practices in Oak Forest, IL. The NPI Number for Covenant Enabling Residences Of Illinois is 1659559292 and holds a License No. 0039149 (Illinois).

The current practice location address for Covenant Enabling Residences Of Illinois is 15841 Terrace Dr, Oak Forest, IL and can be reached out via phone at 708-687-2038 and via fax at 708-687-2762.

Location: 15841 Terrace Dr, Oak Forest, IL, 60452-2911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659559292
Provider Name
Covenant Enabling Residences Of Illinois
Credential
Provider Entity Type
Organization
Address
15841 Terrace Dr, Oak Forest, IL, 60452-2911
Phone Number
708-687-2038
Fax Number
708-687-2762
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15841 Terrace Dr
City
Oak Forest
State
Illinois
Zip
60452-2911
Phone Number
708-687-2038
Fax Number
708-687-2762
person
Provider Business Mailing Address Details
Address
15841 Terrace Dr
City
Oak Forest
State
Illinois
Zip
60452-2911
Phone Number
708-687-2038
Fax Number
708-687-2762
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0039149 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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