Lydia Home Association

NPI 1235197583 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1235197583
Enumeration Date 05/03/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID KARL DAVID
Position EXECUTIVE DIRECTOR
Phone (773) 736-1447
Fax (773) 736-5014
Practice Location
4300 W IRVING PARK RD
CHICAGO IL, 60641-2825, US
Phone (773) 736-1447
Fax (773) 736-5014
Business Location
4300 W IRVING PARK RD
CHICAGO IL, 60641-2825, US
Phone (773) 736-1447
Fax (773) 736-5014
Toxanomy
Taxonomy Code 322D00000X
License State Illinois
License Number 062837
Remove 1235197583 NPI Number
 

According to our database, Lydia Home Association NPI is 1235197583, taxonomy code is 322D00000X and license number is 062837, license state is located at Illinois. Lydia Home Association physically located at 4300 W Irving Park Rd, Chicago IL, 60641-2825. NPI Number 1033115704 has the healthcare provider type.

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1235197583 NPI number is provided on an as is basis without warranty of any kind. 1235197583 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia Home Association are for informational purposes only.