Organization
MOTHERLAND SHELTERED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYODEJI ADEGOYE (PRESIDENT/CEO)
(630) 863-0722
Entity
Organization
Contact information
Practice address
14921 PERRY AVE, SOUTH HOLLAND, IL 60473-1044
(630) 863-0722
Mailing address
2735 HASSERT BLVD, STE 135, #681, C/O AYODEJI ADEGOYE, NAPERVILLE, IL 60564
(630) 863-0722
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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