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Organization
LITTLE ANGELS, INC.
Active
Organization
LITTLE ANGELS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY CAROL LEWIS R.N., LNHA (ADMINISTRATOR)
(847) 741-1609
Entity
Organization
Contact information
Practice address
1435 SUMMIT STREET, ELGIN, IL 60120-9218
(847) 741-1609
(847) 622-5523
Mailing address
1435 SUMMIT STREET, ELGIN, IL 60120-9218
(847) 741-1609
(847) 622-5523
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0010918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14G247
—
IL
Enumeration date
03/16/2007
Last updated
08/22/2020
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