Organization
KNBF CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYETTA FLOYD CERTIFICATION (DEVELOPMENTAL THERAPIST)
(708) 890-9789
Entity
Organization
Contact information
Practice address
201 LESTER RD, PARK FOREST, IL 60466-2013
(708) 890-9789
Mailing address
201 LESTER RD, PARK FOREST, IL 60466-2013
(708) 890-9789
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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