institution
State Of Illinois Department Of Human Services
Adult Care Home Facility in Chicago, Illinois
NPI 1962954099

State Of Illinois Department Of Human Services is an Adult Care Home Facility based in Chicago, IL and is specialized in Adult Care Home. State Of Illinois Department Of Human Services practices in Chicago, IL. The NPI Number for State Of Illinois Department Of Human Services is 1962954099 and holds a License No. 0971 (Illinois).

The current practice location address for State Of Illinois Department Of Human Services is 10724 S Indiana Ave, Chicago, IL and can be reached out via phone at 312-513-4566. You can also correspond with State Of Illinois Department Of Human Services through the mailing address at 10724 S INDIANA AVE, CHICAGO, IL - 60628-3615 (mailing address contact number: 312-513-4566).

Location: 10724 S Indiana Ave, Chicago, IL, 60628-3615
institution
Provider Profile Details
NPI Number
1962954099
Provider Name
State Of Illinois Department Of Human Services
Credential
Provider Entity Type
Organization
Address
10724 S Indiana Ave, Chicago, IL, 60628-3615
Phone Number
312-513-4566
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10724 S Indiana Ave
City
State
Zip
60628-3615
Phone Number
312-513-4566
Fax Number
person
Provider Business Mailing Address Details
Address
10724 S Indiana Ave
City
State
Zip
60628-3615
Phone Number
312-513-4566
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
0971 (Illinois)
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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