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Lutheran Social Services Of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dixon, Illinois
NPI 1669645040

Lutheran Social Services Of Illinois is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Des Plaines, IL. Lutheran Social Services Of Illinois practices in Dixon, IL. The NPI Number for Lutheran Social Services Of Illinois is 1669645040 and holds a License No. 926169 (Illinois).

The current practice location address for Lutheran Social Services Of Illinois is 314 S Ottawa Ave, Dixon, IL and can be reached out via phone at 815-288-4108 and via fax at 815-288-2934.

Location: 314 S Ottawa Ave, Dixon, IL, 60018-5801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669645040
Provider Name
Lutheran Social Services Of Illinois
Credential
Provider Entity Type
Organization
Address
314 S Ottawa Ave, Dixon, IL, 60018-5801
Phone Number
815-288-4108
Fax Number
815-288-2934
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926169 01 IL DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
314 S Ottawa Ave
City
Dixon
State
Illinois
Zip
61021-3150
Phone Number
815-288-4108
Fax Number
815-288-2934
person
Provider Business Mailing Address Details
Address
314 S Ottawa Ave
City
Dixon
State
Illinois
Zip
61021-3150
Phone Number
815-288-4108
Fax Number
815-288-2934
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.
926169 (Illinois)
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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