Organization
MORNING GLORY COMMUNITY CENTRE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHIDAT DADA RN (EXECUTIVE DIRECTOR)
(773) 488-2887
Entity
Organization
Contact information
Practice address
9202 S PARNELL AVE, CHICAGO, IL 60620-2333
(773) 488-2887
Mailing address
9202 S PARNELL AVE, CHICAGO, IL 60620-2333
(773) 488-2887
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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