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Organization

BENJAMIN GREEN FIELD RESIDENCE

Active
Parent organization
THE LAMBS FARM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE LAMBS FARM, INC.
Authorized official
PATRIICA MCGUIRE CPA (CONTROLLER)
(847) 990-3710
Entity
Organization

Contact information

Practice address
14245 W ROCKLAND RD, LIBERTYVILLE, IL 60048-9713
(847) 362-4636
(847) 362-0742
Mailing address
PO BOX 520, LIBERTYVILLE, IL 60048-0520
(847) 362-4636
(847) 362-0742

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000041582
IL

Other

Enumeration date
04/22/2008
Last updated
04/22/2008
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