Lashae Campbell

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1629531561

Lashae Campbell is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bolingbrook, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since: 2019

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Practice location Address checks out

3 Wildwood Lane G
Bolingbrook, IL 60440-1942
Phone: (708) 916-1128

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Specialties & licences

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

Record details

NPI number	1629531561
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 8, 2019
Last updated in NPPES	April 8, 2019
Mailing address	3 Wildwood Lane G, Bolingbrook, IL 60440-1942