Park Lawn Home

NPI #1285943134 in Oak Lawn, Illinois

Provider Information

NPI Number
1285943134
Entity Type
Organization
Organization Name
Park Lawn Home
Subpart
Yes (part of a larger organization)
Parent Organization
PARK LAWN SCHOOL & ACTIVITY CENTER, INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Sep 27, 2010
Last Updated
Sep 27, 2010

Practice Location

Address
10833 LAPORTE AVE
ZIP Code
60453-5412
Phone
(708) 425-3344

Authorized Official

Name
JAMES R. WEISE
Title
EXECUTIVE DIRECTOR
Phone
(708) 425-3344

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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