Organization
GOLFVIEW DEVELOPMENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY R MINER NHA (PRESIDENT)
(847) 827-6628
Entity
Organization
Contact information
Practice address
9555 GOLF RD, DES PLAINES, IL 60016-1519
(847) 827-6628
(847) 827-0948
Mailing address
9555 GOLF RD, DES PLAINES, IL 60016-1519
(847) 827-6628
(847) 827-0948
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0042614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14G190
—
IL
Enumeration date
09/09/2005
Last updated
08/22/2020
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