Organization · Type 2 NPI
Laureate Kankakee Operations LLC
Mental Illness Intermediate Care Facility · Bourbonnais, IL
NPI number
1205488954
Active
Practice location
100 Belle Aire Ave
Bourbonnais, IL 60914-2006
Fax (815) 929-0973
Mailing address
13024 Balntyn Corp Pl Ste 425
Charlotte, NC 28277-4420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
2 other providers at this address
Other mental illness intermediate care facility providers in Bourbonnais
About NPI 1205488954
Laureate Kankakee Operations LLC's National Provider Identifier is 1205488954, issued on Jul 12, 2019. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jul 12, 2019.