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Organization

FAVOR IN THE LAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALFREDA THOMPSON (CEO)
(312) 315-0748
Entity
Organization

Contact information

Practice address
150 N MASON AVE, 1SUITE, CHICAGO, IL 60644-2801
(773) 887-3700
(773) 887-3700
Mailing address
150 N MASON AVE, 1SUITE, CHICAGO, IL 60644-2801
(773) 887-3700
(773) 887-3700

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
1916239
IL
311ZA0620X
Adult Care Home Facility
Primary
1916239
IL

Other

Enumeration date
08/30/2010
Last updated
08/30/2010
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