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Organization

BROADSTEP ACADEMY-ILLINOIS INC

Active
Parent organization
PHOENIX CARE SYSTEMS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHOENIX CARE SYSTEMS, INC.
Authorized official
KEDRIAN COLEMAN (DIRECTOR REVENUE CYCLE)
(919) 709-0197
Entity
Organization

Contact information

Practice address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
Mailing address
2025 WINCHESTER DR, FREEPORT, IL 61032-2932
(815) 233-6162

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
IL

Other

Enumeration date
02/08/2011
Last updated
08/25/2021
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