Covenant Enabling Residences of Illinois
Covenant Enabling Residences of Illinois is an Intellectual Disabilities Intermediate Care Facility in Oak Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
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 Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0039149 (IL) |
|---|
Record details
| NPI number | 1659559292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Smith — Administrative Coordinator · (708) 687-2038 |
| NPI enumerated | February 6, 2008 |
| Last updated in NPPES | February 6, 2008 |
| Mailing address | 15841 Terrace Dr, Oak Forest, IL 60452-2911 |