Organization
SUMMIT SUPPORT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIYAHU GOLDSTEIN (DIRECTOR OF OPERATIONS)
(248) 662-7849
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD STE 123, SKOKIE, IL 60076-2961
(248) 662-7849
Mailing address
8170 MCCORMICK BLVD STE 123, SKOKIE, IL 60076-2961
(248) 662-7849
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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