Organization
SAMS PLACE 78 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONNE MORRISON MSW (CEO)
(219) 613-3478
Entity
Organization
Contact information
Practice address
3424 FIR ST # 1, EAST CHICAGO, IN 46312-2014
(773) 971-0439
Mailing address
7951 CALUMET AVE # 1102, MUNSTER, IN 46321-1215
(773) 971-0439
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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