Organization
HWC RESIDENTIAL HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULAHI HASSAN MOHAMED (DIRECTOR)
(952) 393-2120
Entity
Organization
Contact information
Practice address
2454 W PETERSON AVE, CHICAGO, IL 60659-4113
(952) 393-2120
Mailing address
2454 W PETERSON AVE, CHICAGO, IL 60659-4113
(952) 393-2120
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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