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ABBOTT HOUSE, LLC

Intermediate Care Facility, Mental Illness

Highland Park, Illinois

Provider NPI: 1194859892

Organization Information:
Organization Name:  ABBOTT HOUSE, LLC


Practice Location:
405 CENTRAL AVE  HIGHLAND PARK, IL 60035 US
Tel: 847-432-6080  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
IL0023739

Other Provider Identifiers:

IssuerNumberStateType
PUBLIC HEALTH LICENSE NUM0023739IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS IL - Page 1