N Hyacinth Home LLC

NPI #1336985159 in Chicago, Illinois

Provider Information

NPI Number
1336985159
Entity Type
Organization
Organization Name
N Hyacinth Home LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 2, 2024
Last Updated
Jul 2, 2024

Practice Location

Address
2418 W JACKSON BLVD
ZIP Code
60612-2938
Phone
(312) 468-9075

Authorized Official

Name
SHERANN IVY, APN
Title
CEO
Phone
(312) 468-9075

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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