Organization
SOUTHWEST COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA AMBROSINO R.N. (EXECUTIVE DIRECTOR)
(708) 429-1260
Entity
Organization
Contact information
Practice address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-9107
Mailing address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-9107
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
IL
Other
Enumeration date
04/03/2007
Last updated
06/06/2011
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