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Organization

PARK LAWN CENTER

Active
Parent organization
PARK LAWN SCHOOL & ACTIVITY CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARK LAWN SCHOOL & ACTIVITY CENTER, INC
Authorized official
MR. JAMES R. WEISE (EXECUTIVE DIRECTOR)
(708) 425-3344
Entity
Organization

Contact information

Practice address
10833 LAPORTE AVE, OAK LAWN, IL 60453-5412
(708) 425-3344
(708) 425-3530
Mailing address
5831 W 115TH ST, ALSIP, IL 60803-5150
(708) 396-1117
(708) 396-1186

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0027078
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0027078
IL
Enumeration date
09/27/2010
Last updated
09/27/2010
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