Organization · Type 2 NPI
Anova Healthcare Services LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dolton, IL
Practice location
1134 E 152nd St
Dolton, IL 60419-2884
Mailing address
1252 S Federal St Unit C
Chicago, IL 60605-4901
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Dolton
About NPI 1528631561
Anova Healthcare Services LLC's National Provider Identifier is 1528631561, issued on Jul 19, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dolton, IL. The record was last updated on Jul 19, 2021.