Organization
INSPIRED GRACE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES IDOWU (EXECUTIVE DIRECTOR)
(242) 245-8912
Entity
Organization
Contact information
Practice address
1051 E MAIN ST STE 212, EAST DUNDEE, IL 60118-2455
(224) 245-8912
Mailing address
1051 E MAIN ST STE 212, EAST DUNDEE, IL 60118-2455
(224) 245-8912
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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