Organization · Type 2 NPI
Covenant Enabling Residences of Illinois
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Oak Forest, IL
Practice location
15841 Terrace Dr
Oak Forest, IL 60452-2911
Fax (708) 687-2762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1285188342
Covenant Enabling Residences of Illinois's National Provider Identifier is 1285188342, issued on Aug 6, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Oak Forest, IL. The record was last updated on Aug 6, 2016.