NPI 1033347794
Southwest Disabilities Services & Support Nfp
Practice location
- Address
- 286 E 16th St, Chicago Heights, IL 60411-3730
- Phone
- (708) 753-1670
- Fax
- (708) 753-1679
Authorised official
- Name
- Reuben Frederick Goodwin
- Title
- Executive Director
- Phone
- (708) 753-1670
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1033347794
- Entity type
- Organization
- NPI issued
- 1 Jul 2009
- Record last updated
- 13 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.