Organization
COMPASSION CILA HOMES INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDA BENJAMIN BASSEY (CEO)
(773) 419-2211
Entity
Organization
Contact information
Practice address
304 SPRINGFIELD ST, PARK FOREST, IL 60466-1145
(773) 419-2211
Mailing address
304 SPRINGFIELD ST, PARK FOREST, IL 60466-1145
(773) 419-2211
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
201500006C
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201500006C
IL
Other
Enumeration date
09/18/2015
Last updated
10/21/2015
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