Organization
UNIVERSAL LIVING CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW D SAWYER (EXECUTIVE DIRECTOR)
(708) 323-2864
Entity
Organization
Contact information
Practice address
15225 DANTE AVE, DOLTON, IL 60419-3136
(708) 323-2864
(708) 782-7615
Mailing address
15225 DANTE AVE, DOLTON, IL 60419-3136
(708) 323-2864
(708) 782-7615
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201200003C
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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