Elece Douglas
Elece Douglas is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hazel Crest, Illinois. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
17309 Holmes AveHazel Crest, IL 60429-1710
Phone: (708) 335-3519
Fax: (708) 335-3519
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1578898649 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elece Douglas — Develomental Therapist · (708) 335-3519 |
| NPI enumerated | October 7, 2009 |
| Last updated in NPPES | October 7, 2009 |
| Mailing address | 17309 Holmes Ave, Hazel Crest, IL 60429-1710 |
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