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Organization

HALSTED SHELTER CARE

Active
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Organization

HALSTED SHELTER CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ELISHA ATKIN (ADMINISTRATOR)
(708) 339-5311
Entity
Organization

Contact information

Practice address
16044 HALSTED ST, HARVEY, IL 60426-5201
(708) 339-5311
(708) 339-5315
Mailing address
16044 HALSTED ST, HARVEY, IL 60426-5201
(708) 339-5311
(708) 339-5315

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0049080
IL

Other

Enumeration date
02/14/2008
Last updated
02/14/2008
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