Organization
FIRST ZION HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIRAT OMOLARA OYEBIYI RN (EXECUTIVE DIRECTOR)
(773) 610-8108
Entity
Organization
Contact information
Practice address
2601 SURF CT, LYNWOOD, IL 60411-1447
(773) 610-8108
Mailing address
2601 SURF CT, LYNWOOD, IL 60411-1447
(773) 610-8108
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201800001C
IL
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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