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14D2220200 CLIA NUMBER - MOUNT PROSPECT SENIOR LIVING

Laboratory Demographics

CLIA Number: 14D2220200

Facility Name: MOUNT PROSPECT SENIOR LIVING

Facility Address:
1111 S LINNEMAN RD
MOUNT PROSPECT, IL
ZIP 60056
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Facility Phone Number: 847 250-6029

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1649317066

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 14D2220200
LAB Type Assisted Living Facility
Facility Name MOUNT PROSPECT SENIOR LIVING
Street 1111 S LINNEMAN RD
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 250-6029
CertificateType 4
CertificateEffectiveDate 4/9/2023
CertificateExpirationDate 4/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024