Shine On Me Inc. of Illinois
NPI #1538524236 in Park Forest, Illinois
Provider Information
- NPI Number
- 1538524236
- Entity Type
- Organization
- Organization Name
- Shine On Me Inc. of Illinois
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 22, 2015
- Last Updated
- Dec 22, 2015
Practice Location
- Address
- 153 NANTI ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2529
- Phone
- (708) 506-3900
Authorized Official
- Name
- ROSELYN SHINE
- Title
- CEO
- Phone
- (708) 743-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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