NPI 1528593076

Destiny Housing

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

Practice location

Address: 18019 Dixie Hwy STE 1a, Homewood, IL 60430-3058
Phone: (708) 663-4910

Authorised official

Name: Michael Edidiong Udonkang
Title: President
Phone: (708) 663-4910

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 201700004 (IL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1528593076
Entity type: Organization
NPI issued: 21 Apr 2017
Record last updated: 21 Apr 2017

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.