Organization · Type 2 NPI
Kwanza Suites Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Evergreen Park, IL
Practice location
9652 S Francisco Ave
Evergreen Park, IL 60805-2710
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 1619329604
Kwanza Suites Corporation's National Provider Identifier is 1619329604, issued on Jul 1, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Evergreen Park, IL. The record was last updated on Jul 1, 2016.