Individual provider · Type 1 NPI
Adewole Isaiah Adeleke
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Country Club Hills, IL
Practice location
18041 Thomas Ln
Country Club Hills, IL 60478-5065
Mailing address
3050 Bob O Link Rd
Flossmoor, IL 60422-1420
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 1508429242
Adewole Isaiah Adeleke's National Provider Identifier is 1508429242, issued on Apr 18, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Country Club Hills, IL. The record was last updated on Aug 30, 2024.