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Organization
MOORE PROFESSIONAL CHILDCARE AND LEARNING CENTER
Active
Organization
MOORE PROFESSIONAL CHILDCARE AND LEARNING CENTER
Active
Other names
Litehouse Rehabilitation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAWNTINA MOORE (ADMINISTRATOR)
(877) 232-7242
Entity
Organization
Contact information
Practice address
3032 140TH PL, BLUE ISLAND, IL 60406-3357
(877) 232-7242
(877) 232-7242
Mailing address
3032 140TH PL, BLUE ISLAND, IL 60406-3357
(877) 232-7242
(877) 232-7242
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056.008266
IL
Other
Enumeration date
12/17/2010
Last updated
06/25/2012
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