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General NPI Number Information
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NPI Number | 1104765122
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Entity Type | Organization
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Legal Business Name | TERESA'S PLACE ADULT DAYCARE CENTER INCORPORATED
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 931 N MAIN ST
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City | GLEN ELLYN
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State | IL
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Zip | 60137-3674
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Country | US
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Telephone | 331-462-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 LONDONBERRY LN
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City | GLEN ELLYN
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State | IL
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Zip | 60137-6109
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Country | US
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Telephone | 331-462-9136
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | MRS. LATANYA Y OWENS
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Credential | MBA, MPM, MISM, M.ED
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Telephone | 331-462-9136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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