Organization
GSGRACE CILA HOME LLC
Active
Other names
GSGRACE CILA HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH AINA (PRESIDENT)
(773) 627-0241
Entity
Organization
Contact information
Practice address
20635 ABBEY WOODS CT N STE 303, FRANKFORT, IL 60423-3191
(773) 627-0241
(888) 972-4225
Mailing address
20635 ABBEY WOODS CT N STE 303, FRANKFORT, IL 60423-3191
(773) 627-0241
(888) 972-4225
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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