Our Childrens Homestead
NPI #1265487540 in Naperville, Illinois
Provider Information
- NPI Number
- 1265487540
- Entity Type
- Organization
- Organization Name
- Our Childrens Homestead
- Primary Specialty
- Case Management
- Enumeration Date
- May 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 387 SHUMAN BLVD
- Address 2
- SUITE 335W
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60563-8450
- Phone
- (630) 369-0004
Authorized Official
- Name
- MR. ROBERT G GENIESSE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (630) 369-0004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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