Kwanza Suites Corporation

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1619329604

Kwanza Suites Corporation is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Evergreen Park, Illinois. Registered with an NPI since 2016.

In the registry since: 2016

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Practice location Address checks out

9652 S Francisco Ave
Evergreen Park, IL 60805-2710
Phone: (708) 425-0193

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1619329604
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Emmanuel Addison — Executive Director · (773) 814-1123
NPI enumerated	July 1, 2016
Last updated in NPPES	July 1, 2016
Mailing address	9652 S Francisco Ave, Evergreen Park, IL 60805-2710