Kwanza Suites Corporation

LBN: Kwanza Suites Corporation
Kwanza Suites Corporation is an health care organization with primary practice located at 9652 S Francisco Ave , Evergreen Park IL 60805-2710. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Kwanza Suites Corporation can be contacted via phone (708) 425-0193, or through Addison, Emmanuel K via phone (773) 814-1123.

Contact Information

Primary practice address
9652 S Francisco Ave Evergreen Park IL 60805-2710
Phone: (708) 425-0193
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Addison, Emmanuel K
Phone: (773) 814-1123

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1619329604
LBN Legal business name Kwanza Suites Corporation
DBA Doing business as
Authorized official Addison, Emmanuel K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2016
Last updated Jul 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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