Organization
LIGHT OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC ADEYEMI (CEO)
(773) 759-1297
Entity
Organization
Contact information
Practice address
22858 MILLARD AVE, RICHTON PARK, IL 60471-2531
(773) 759-1297
Mailing address
22858 MILLARD AVE, RICHTON PARK, IL 60471-2531
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
20170002C
IL
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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