| Manna For Life Services, Llc | |
|
17541 Kedzie Ave #346 Hazel Crest IL 60429-2061 | |
| (312) 834-3689 | |
| (708) 798-9883 |
| Full Name | Manna For Life Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17541 Kedzie Ave, Hazel Crest, Illinois |
| Authorized Official Name and Position | Regina B Mcclure (MANAGER) |
| Authorized Official Contact | 3128343689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna For Life Services, Llc 17541 Kedzie Ave #346 Hazel Crest IL 60429-2061 Ph: (312) 834-3689 | Manna For Life Services, Llc 17541 Kedzie Ave #346 Hazel Crest IL 60429-2061 Ph: (312) 834-3689 |
| NPI Number | 1568634426 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568634426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180006074 (Illinois) | Primary |
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