Waukegan Group Home

LBN: Arden Shore Child And Family Services
Waukegan Group Home is an health care organization with primary practice located at 3100 Cornell Rd , Waukegan IL 60087-2247. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Arden Shore Child And Family Services can be contacted via phone (847) 263-1858, or through Maya, Dora via phone (847) 623-1730.

Contact Information

Primary practice address
3100 Cornell Rd Waukegan IL 60087-2247
Phone: (847) 263-1858
Fax: (847) 263-4190
Website:
Map and Directions
Authorized official contact:
Name: Maya, Dora PHD
Phone: (847) 623-1730

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 31414206 Illinois

Profile Details

NPI number 1528319969
LBN Legal business name Arden Shore Child And Family Services
DBA Doing business as Waukegan Group Home
Authorized official Maya, Dora PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2012
Last updated Sep 25th, 2012 - about 12 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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