Organization
GENTLE HANDS REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ASSAM R.N. BSN (CEO)
(708) 704-9773
Entity
Organization
Contact information
Practice address
5319 SAWGRASS AVE, RICHTON PARK, IL 60471-1295
(708) 704-9773
Mailing address
5319 SAWGRASS AVE, RICHTON PARK, IL 60471-1295
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201500007C
IL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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