Organization
MOORE PROFESSIONAL CHILDCARE AND LEARNING CENTER
Active
Other names
Litehouse Rehabilitation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAWNTINA MOORE (ADMINISTRATOR)
(877) 232-7242
Entity
Organization
Contact information
Practice address
3032 140TH PL, BLUE ISLAND, IL 60406-3357
(877) 232-7242
(877) 232-7242
Mailing address
3032 140TH PL, BLUE ISLAND, IL 60406-3357
(877) 232-7242
(877) 232-7242
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056.008266
IL
Other
Enumeration date
12/17/2010
Last updated
06/25/2012
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