Organization
LAJAED CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE TERESE STEWART (CEO)
(872) 256-1970
Entity
Organization
Contact information
Practice address
8026 S WOOD ST, CHICAGO, IL 60620-4546
(872) 256-1970
Mailing address
7011 S PERRY AVE, CHICAGO, IL 60621-3609
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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