Organization
SHORE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INDIA ALEXIS EHIOBA MNA, CFRE (CEO)
(847) 982-2030
Entity
Organization
Contact information
Practice address
8350 LARAMIE AVE, SKOKIE, IL 60077-2461
(847) 982-2030
(847) 982-2039
Mailing address
8350 LARAMIE AVE, SKOKIE, IL 60077-2461
(847) 982-2030
(847) 982-2039
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0028720
IL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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