Organization · NPI-2
Kindred Life Ministries INC
Clinic/Center · Gurnee, IL
NPI number1861211245
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1861211245
- Entity type
- Organization (NPI-2)
- Legal business name
- Kindred Life Ministries INC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2024
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1319 N Hunt Club RdGurnee, IL 60031-2442
Phone 847-250-7503
Mailing address
Po Box 853Grayslake, IL 60030-0853
Authorized official
Eliza Labelle
Executive Director
8472507503
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