Marklund Mill Creek Home 3

NPI #1760649966 in Geneva, Illinois

Provider Information

NPI Number
1760649966
Entity Type
Organization
Organization Name
Marklund Mill Creek Home 3
Subpart
Yes (part of a larger organization)
Parent Organization
MARKLUND CHILDRENS HOME
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 16, 2008
Last Updated
May 22, 2008

Practice Location

Address
1S381 WYATT DR
City
Geneva
ZIP Code
60134-4921
Phone
(630) 593-5500

Authorized Official

Name
MR. JOEL RUSCO
Title
CEO/PRESIDENT
Phone
(630) 593-5500

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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