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Organization
YSL CARE, INC
Active
Organization
YSL CARE, INC
Active
Other names
Columbus Manor Residential Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFZAL LOKHANDWALA (PRESIDENT)
(630) 664-6048
Entity
Organization
Contact information
Practice address
5107-21 WEST JACKSON BLVD, CHICAGO, IL 60644
(773) 378-5490
(773) 378-7860
Mailing address
5107-21 WEST JACKSON BLVD, CHICAGO, IL 60644
(773) 378-5490
(773) 378-7860
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
0007781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362673116001
—
IL
Enumeration date
02/25/2008
Last updated
10/06/2016
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