Organization
ANGELS ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATASHA ECHOLS (DEVELOPMENTAL THERAPIST)
(773) 547-6330
Entity
Organization
Contact information
Practice address
14533 JEFFERSON ST, HARVEY, IL 60426-1813
(708) 339-3448
(708) 260-9413
Mailing address
PO BOX 277998, RIVERDALE, IL 60827-7998
(708) 339-3448
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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