SPECIALIZED ASSISTANCE SERVICES, NFP; NPI #1710344338

Contact Information

SPECIALIZED ASSISTANCE SERVICES, NFP

333 W EVERGREEN ST
MANTENO, IL 60950

Phone: 312-808-3218
Fax: 312-791-9037
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for SPECIALIZED ASSISTANCE SERVICES, NFP

NPI Number 1710344338

LBN Legal business name SPECIALIZED ASSISTANCE SERVICES, NFP

Authorized official BELINDA MORENO - (VP FINANCE & ADMINISTRATION)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/27/2016

Last updated 08/10/2018 - About 8 years ago

Identifiers

IL	License #	A-0584-0002-A
IL	License #	A-0584-0004-A

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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