institution
Achieve Development Association Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Skokie, Illinois
NPI 1780031062

Achieve Development Association Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Skokie, IL. Achieve Development Association Inc practices in Skokie, IL. The NPI Number for Achieve Development Association Inc is 1780031062 and holds a License No. 200000006C (Illinois).

The current practice location address for Achieve Development Association Inc is 5115 Church St, Skokie, IL and can be reached out via phone at 847-677-4933 and via fax at 847-679-3973. You can also correspond with Achieve Development Association Inc through the mailing address at 5115 CHURCH ST, SKOKIE, IL - 60077-1201 (mailing address contact number: 847-677-4933).

Location: 5115 Church St, Skokie, IL, 60077-1201
institution
Provider Profile Details
NPI Number
1780031062
Provider Name
Achieve Development Association Inc
Credential
Provider Entity Type
Organization
Address
5115 Church St, Skokie, IL, 60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3000006 01 IL MCO PLAN
7094638 01 IL BILLING AGENCY
institution
Provider Business Practice Location Address Details
Address
5115 Church St
City
State
Zip
60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
person
Provider Business Mailing Address Details
Address
5115 Church St
City
State
Zip
60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
200000006C (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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