Organization
ANOVA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUN SOLESI MBA (MANAGING PARTNER)
(773) 225-9417
Entity
Organization
Contact information
Practice address
1134 E 152ND ST, DOLTON, IL 60419-2884
(773) 225-9417
Mailing address
1252 S FEDERAL ST UNIT C, CHICAGO, IL 60605-4901
(773) 225-9417
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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