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Contact Information

FAVOR IN THE LAND
150 N MASON AVE
1SUITE
CHICAGO, IL60644-2801
 Phone: 773-887-3700
 Fax: 773-887-3700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Care Home

311ZA0620X
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for FAVOR IN THE LAND

NPI Number 1831405695
LBN Legal business name FAVOR IN THE LAND
Authorized official ALFREDA THOMPSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2010
Last updated 08/30/2010 - About 16 years ago
Identifiers
IL License # 1916239
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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