Organization · Type 2 NPI
A Great Place To Stay LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lake Villa, IL
Practice location
35580 N Knowles Rd
Lake Villa, IL 60046-9026
Mailing address
716 Park Ave
Beaver Dam, WI 53916-2204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1053949404
A Great Place To Stay LLC's National Provider Identifier is 1053949404, issued on Mar 31, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lake Villa, IL. The record was last updated on Mar 31, 2020.