MISERICORDIA HOME is an intermediate care facility mentally retarded in Chicago, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MISERICORDIA HOME NPI is 1972543551. The provider is registered as an organization entity type.
The provider's business location address is:
6300 N RIDGE AVE
CHICAGO, IL
ZIP 60660-017
Phone: (773) 973-6300
Fax: (773) 743-5439
The provider's authorized official is Mary Pat O'brien .
The authorized official title is Administrator and has the following contact phone number (773) 273-4169.
The CLIA number assigned to this NPI record is 14D1039695 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/8/2006 and was last updated on 12/10/2010.