Organization
LIFESTYLES ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A KAMINSKY (EXECUTIVE DIRECTOR)
(708) 480-2085
Entity
Organization
Contact information
Practice address
10300 W 131ST ST, PALOS PARK, IL 60464-2207
(708) 480-2085
(708) 480-2659
Mailing address
10300 W 131ST ST, PALOS PARK, IL 60464-2207
(708) 480-2085
(708) 480-2659
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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