Organization
MONTE NIDO ILLINOIS, LLC
Active
Other names
Monte Nido Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
28W510 WASHINGTON AVE, WINFIELD, IL 60190-1537
(305) 663-1876
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
06/22/2020
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