Provider Demographics
NPI:1447695853
Name:ECUMENICAL SUPPORT SERVICES FOR THE ELDERLY
Entity type:Organization
Organization Name:ECUMENICAL SUPPORT SERVICES FOR THE ELDERLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAVIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-260-3773
Mailing Address - Street 1:515 S. WHEATON AVE.
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-260-3773
Mailing Address - Fax:630-260-8046
Practice Address - Street 1:515 S WHEATON AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5213
Practice Address - Country:US
Practice Address - Phone:630-260-3773
Practice Address - Fax:630-260-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care