Organization
YSL CARE, INC
Active
Other names
Columbus Manor Residential Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFZAL LOKHANDWALA (PRESIDENT)
(630) 664-6048
Entity
Organization
Contact information
Practice address
5107-21 WEST JACKSON BLVD, CHICAGO, IL 60644
(773) 378-5490
(773) 378-7860
Mailing address
5107-21 WEST JACKSON BLVD, CHICAGO, IL 60644
(773) 378-5490
(773) 378-7860
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
0007781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362673116001
—
IL
Enumeration date
02/25/2008
Last updated
10/06/2016
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