Organization
GRANNY'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABISOLA BAKARE (PROGRAM DIRECTOR/CEO)
(773) 841-4321
Entity
Organization
Contact information
Practice address
2338 E 99TH ST, CHICAGO, IL 60617-5228
(773) 841-4321
Mailing address
730 W STRIEFF LN, GLENWOOD, IL 60425-1314
(773) 841-4321
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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