NPI 1053775296

Garden Center Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Burbank, IL

Practice location

Address: 8333 Austin Ave, Burbank, IL 60459-2558
Phone: (708) 636-0054
Fax: (708) 636-7955

Authorised official

Name: Gerard S. Beagles
Title: Executive Director
Phone: (708) 560-4400

Registered specialties (5)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1053775296
Entity type: Organization
NPI issued: 13 Apr 2016
Record last updated: 13 Apr 2016

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.