A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Case Management |
251B00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Professional |
101YP2500X |
| NPI # | 1558729558 |
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| LBN Legal business name | ASPIRE OF ILLINOIS | ||||||||
| Authorized official | KEN GAUL - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/04/2016 | ||||||||
| Last updated | 02/05/2016 - About 10 years ago | ||||||||
| Identifiers |
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