Organization
JACKSON CILA CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY M BOND (PRESIDENT/EXECUTIVE DIRECTOR)
(773) 505-9799
Entity
Organization
Contact information
Practice address
8215 S JEFFERY BLVD, CHICAGO, IL 60617-1814
(312) 291-6626
Mailing address
PO BOX 7028, CHICAGO, IL 60680-7028
(312) 291-6626
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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