Organization
MERCY HOUSING LAKEFRONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX R. MATLOCK (V.P., COMMUNITY SUPPORTIVE SERVICES)
(312) 447-4532
Entity
Organization
Contact information
Practice address
1521 S WABASH AVE, CHICAGO, IL 60605-2919
(312) 447-4695
(312) 447-4764
Mailing address
247 S STATE ST, SUITE 810, CHICAGO, IL 60604-2053
(312) 447-4550
(312) 447-4750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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