Organization
GARDEN CENTER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD S. BEAGLES (EXECUTIVE DIRECTOR)
(708) 636-0054
Entity
Organization
Contact information
Practice address
3309 HARVEY AVE, BERWYN, IL 60402-3807
(708) 398-6560
Mailing address
8333 AUSTIN AVE, BURBANK, IL 60459-2558
(708) 636-0054
(708) 636-7955
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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