Elisabeth Ludeman Center
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Park Forest, IL. Organization (NPI-2).
NPI number1992841480
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992841480
- Entity type
- Organization (NPI-2)
- Legal business name
- Elisabeth Ludeman Center
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
114 N Orchard DrPark Forest, IL 60466-1200
Phone 708-283-3018 · Fax 708-283-3020
Mailing address
114 N Orchard DrPark Forest, IL 60466-1200
Phone 708-283-3018 · Fax 708-283-3020
Authorized official
Jacquelyn Amelse
Health Information Manager
7082833018
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