GRAND PRAIRIE SERVICES NPI 1669927042

NPI Information

NPI: 1669927042
Provider Name: GRAND PRAIRIE SERVICES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
450 W 14TH ST
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 444-1012
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GRAND PRAIRIE SERVICES is a rehabilitation and substance use disorder clinic center in Chicago Heights, IL. GRAND PRAIRIE SERVICES NPI is 1669927042. The provider is registered as an organization entity type.

The provider's business location address is:

450 W 14TH ST
CHICAGO HEIGHTS, IL
ZIP 60411-463
Phone: (708) 444-1012

The provider's authorized official is Sharronne Ward .
The authorized official title is President And Ceo and has the following contact phone number (708) 444-1012.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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