Organization Name: | ECUMENICAL SUPPORT SERVICES FOR THE ELDERLY ESSE CENTER |
NPI Number: | 1144623208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY DAVIT (EXECUTIVE DIRECTOR) |
Mailing Address: | 28w444 Main St Warrenville |
State: | IL US |
Postal Code: | 605553343 |
Phone Number: | 6307919319 |
Fax Number: | 6307919399 |
NPI Enumeration Date: | 10/03/2014 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | ADS1202003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |