Organization
RYAN SHELTERED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATUMA KIWALA (OWNER)
(331) 230-1154
Entity
Organization
Contact information
Practice address
129 VALHALLA DR NE, POPLAR GROVE, IL 61065-9286
(331) 230-1154
Mailing address
129 VALHALLA DR NE, POPLAR GROVE, IL 61065-9286
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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