Covenant Enabling Residences of Illinois
Covenant Enabling Residences of Illinois is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oak Forest, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
15841 Terrace DrOak Forest, IL 60452-2911
Phone: (708) 687-2038
Fax: (708) 687-2762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1285188342 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Smith — Administrator · (708) 687-2038 |
| Other names | Bjorklund House |
| NPI enumerated | August 6, 2016 |
| Last updated in NPPES | August 6, 2016 |
| Mailing address | 15841 Terrace Dr, Oak Forest, IL 60452-2911 |