Organization · Type 2 NPI
Covenant Enabling Residences of Illinois
Intellectual Disabilities Intermediate Care Facility · Oak Forest, IL
NPI number
1659559292
Active
Practice location
15841 Terrace Dr
Oak Forest, IL 60452-2911
Fax (708) 687-2762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0039149 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1659559292
Covenant Enabling Residences of Illinois's National Provider Identifier is 1659559292, issued on Feb 6, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Oak Forest, IL. The record was last updated on Feb 6, 2008.