Organization
IVY GARDEN ADULT ACTIVITY CENTER LLC
Active
Other names
Ivy Garden Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
YMAN VIEN (DIRECTOR OF PLANNING)
(312) 203-9988
Entity
Organization
Contact information
Practice address
2929 S HALSTED ST, CHICAGO, IL 60608-5803
(312) 929-4577
(312) 763-6158
Mailing address
2929 S HALSTED ST, CHICAGO, IL 60608-5803
(312) 929-4577
(312) 763-6158
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADS2212020
IDOA ADS
IL
Enumeration date
11/01/2021
Last updated
07/01/2024
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