Organization
DIVINE TOUCH CILA HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN EBOM (CEO)
(773) 430-8668
Entity
Organization
Contact information
Practice address
18350 KEDZIE AVE STE 204, HOMEWOOD, IL 60430-2759
(773) 430-8668
Mailing address
18350 KEDZIE AVE STE 204, HOMEWOOD, IL 60430-2759
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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