Destiny Housing

NPI #1528593076 in Homewood, Illinois

Provider Information

NPI Number: 1528593076
Entity Type: Organization
Organization Name: Destiny Housing
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 21, 2017
Last Updated: Apr 21, 2017

Practice Location

Address: 18019 DIXIE HWY STE 1A
City: Homewood
State: Illinois
ZIP Code: 60430-3058
Phone: (708) 663-4910

Authorized Official

Name: MICHAEL EDIDIONG UDONKANG
Title: PRESIDENT
Phone: (708) 663-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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