ELECE DOUGLAS
NPI 1578898649
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hazel Crest, IL

Active since October 07, 2009
17309 HOLMES AVE, HAZEL CREST, IL 60429(708) 335-3519(708) 335-3519 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elece Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELECE DOUGLAS (NPI 1578898649) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Hazel Crest, Illinois and active in the NPI registry since October 2009. The organization lists Elece Douglas, Develomental Therapist, as its authorized official.

NPPES Registry Identity

NPI1578898649
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameELECE DOUGLAS
Location Address17309 HOLMES AVEHazel Crest, IL 60429-1710
Mailing Address17309 Holmes AveHazel Crest, IL 60429-1710 · (708) 335-3519 · Fax (708) 335-3519
Fax(708) 335-3519
Organization SubpartNo
Authorized OfficialElece DouglasDevelomental Therapist · (708) 335-3519
Enumeration DateOctober 7, 2009
NPI 1578898649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

17309 HOLMES AVE, Hazel Crest, IL 60429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578898649, enumerated as an "organization" on October 07, 2009.

The provider is located at 17309 HOLMES AVE HAZEL CREST, IL 60429 and the phone number is (708) 335-3519.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.