Organization
DYMOND HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE YOUNG (CEO)
(773) 981-7171
Entity
Organization
Contact information
Practice address
4223 S PRAIRIE AVE, CHICAGO, IL 60653-3211
(773) 981-7171
Mailing address
4223 S PRAIRIE AVE, CHICAGO, IL 60653-3211
(773) 981-7171
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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