Manna for Life Services, LLC
NPI #1568634426 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1568634426
- Entity Type
- Organization
- Organization Name
- Manna for Life Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 31, 2008
- Last Updated
- Aug 17, 2011
Practice Location
- Address
- 17541 KEDZIE AVE
- Address 2
- #346
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2061
- Phone
- (312) 834-3689
Authorized Official
- Name
- MS. REGINA B MCCLURE, LCPC
- Title
- MANAGER
- Phone
- (312) 834-3689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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