Organization
HOME SWEET HOME EARLY DEVELOPMENTAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVELL FLOYD JR. (EXECUTIVE DIRECTOR)
(708) 645-6489
Entity
Organization
Contact information
Practice address
201 LESTER RD, PARK FOREST, IL 60466-2013
(708) 645-6489
(866) 430-3316
Mailing address
201 LESTER RD, PARK FOREST, IL 60466-2013
(708) 645-6489
(866) 430-3316
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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