Organization
NEW HOPE CENTER/ PHOENIX COURT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PISTERZI (DIRECTOR OF RESIDENTIAL SERVICES)
(708) 841-1071
Entity
Organization
Contact information
Practice address
17312 CLYDE AVE, SOUTH HOLLAND, IL 60473-3746
(708) 418-0555
Mailing address
1624 E 154TH ST, DOLTON, IL 60419-3002
(708) 841-1071
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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