Preventive Development Disability and Health Services LLC
NPI #1245112978 in Montgomery, Illinois
Provider Information
- NPI Number
- 1245112978
- Entity Type
- Organization
- Organization Name
- Preventive Development Disability and Health Services LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 23, 2025
- Last Updated
- Jul 23, 2025
Practice Location
- Address
- 2481 MAYFIELD DR
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-5057
- Phone
- (331) 250-2492
Authorized Official
- Name
- MS. CONSTANCE ETENGENENG NGASSA, RN
- Title
- PRESIDENT - DIRECTOR
- Phone
- (331) 250-2492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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