Organization
FOSTERING HOPE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROD NICHOLS (PRESIDIENT)
(872) 276-3937
Entity
Organization
Contact information
Practice address
1706 PRAIRIE WIND DR, JOLIET, IL 60435-0686
(872) 276-3937
Mailing address
1706 PRAIRIE WIND DR, JOLIET, IL 60435-0686
(872) 276-3937
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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