Organization · Type 2 NPI
T.o.c Incoorporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Matteson, IL
Practice location
4709 Abbey Ln
Matteson, IL 60443-1894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 201400007C (IL) |
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.
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About NPI 1710365341
T.o.c Incoorporation's National Provider Identifier is 1710365341, issued on May 14, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Matteson, IL. The record was last updated on Oct 10, 2016.