GOLFVIEW DEVELOPMENTAL CENTER, INC.
Intermediate Care Facility, Mentally Retarded
Des Plaines, Illinois
Provider NPI: 1679567226
Organization Information:Organization Name: GOLFVIEW DEVELOPMENTAL CENTER, INC.
Practice Location:
9555 GOLF RD DES PLAINES, IL 60016 US
Tel: 847-827-6628 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9555 GOLF RD DES PLAINES, IL 60016 US
Tel: 847-827-6628 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | IL | 0042614 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
14G190 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin