| Ward House Supportive Services, Inc | |
|
1049 W 87th St Chicago IL 60620-3328 | |
| (773) 846-1589 | |
| Not Available |
| Full Name | Ward House Supportive Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1049 W 87th St, Chicago, Illinois |
| Authorized Official Name and Position | Cynthia Ward (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7738461589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ward House Supportive Services, Inc 1049 W 87th St Chicago IL 60620-3328 Ph: (773) 846-1589 | Ward House Supportive Services, Inc 1049 W 87th St Chicago IL 60620-3328 Ph: (773) 846-1589 |
| NPI Number | 1851576599 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851576599 | NPI | - | NPPES |
| MEDICAID PENDING | Other | IL | MEDICAID PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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