Organization · Type 2 NPI

Larc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lansing, IL

NPI number 1245695733 Active

Practice location

19043 Wentworth Ave
Lansing, IL 60438-3873

Call (708) 474-1540 Map

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1245695733

Larc's National Provider Identifier is 1245695733, issued on Dec 28, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lansing, IL. The record was last updated on Dec 28, 2015.