Reign-Bow House LLC

NPI #1801608302 in Lombard, Illinois

Provider Information

NPI Number: 1801608302
Entity Type: Organization
Organization Name: Reign-Bow House LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 22, 2025
Last Updated: Jan 22, 2025

Practice Location

Address: 55 W 22ND ST
City: Lombard
State: Illinois
ZIP Code: 60148-4854
Phone: (773) 573-8587

Authorized Official

Name: CORI DAVIS
Title: ADMIN
Phone: (773) 573-8587

Specialties & Taxonomy Codes

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

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