Whalio Doctors

NPI 1568634426

Manna for Life Services, LLC

Organisation Community/Behavioral Health Agency Hazel Crest, IL

Practice location

Address
17541 Kedzie Ave #346, Hazel Crest, IL 60429-2061
Phone
(312) 834-3689
Fax
(708) 798-9883

Authorised official

Name
Regina B McClure
Title
Manager
Phone
(312) 834-3689

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 180006074 (IL)

Registry record

NPI
1568634426
Entity type
Organization
NPI issued
31 Mar 2008
Record last updated
17 Aug 2011

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.