Hwc Residential Housing LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chicago, IL. Organization (NPI-2).
NPI number1659000511
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1659000511
- Entity type
- Organization (NPI-2)
- Legal business name
- Hwc Residential Housing LLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2454 W Peterson AveChicago, IL 60659-4113
Phone 952-393-2120
Mailing address
2454 W Peterson AveChicago, IL 60659-4113
Phone 952-393-2120
Authorized official
Abdulahi Hassan Mohamed
Director
9523932120
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