# HONEYSUCKLE HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831083997
- **Authorized official:** CRYSTAL TRINIDAD NP (DON/ PROGRAM ADMINISTRATOR/ OWNER)
- **Authorized official phone:** (773) 512-6193

## Contact information

- **Practice address:** 4017 W OGDEN AVE, CHICAGO, IL 60623-2820
- **Practice address phone:** (773) 512-6193
- **Mailing address:** 4017 W OGDEN AVE, CHICAGO, IL 60623-2820
- **Mailing address phone:** (773) 512-6193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/04/2025