Organization
UNIVERSAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE YOUNG (EXECUTIVE DIRECTOR)
(773) 981-7171
Entity
Organization
Contact information
Practice address
12101 S LA SALLE ST, CHICAGO, IL 60628-6618
(773) 981-7171
(773) 337-0635
Mailing address
3473 S KING DR UNIT 133, CHICAGO, IL 60616-4108
(773) 981-7171
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201700010C
IL
Other
Enumeration date
03/07/2018
Last updated
01/04/2021
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