Provider Demographics
NPI:1861859290
Name:THE LAMBS FARM, INC.
Entity Type:Organization
Organization Name:THE LAMBS FARM, INC.
Other - Org Name:LAMBS FARM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-990-3710
Mailing Address - Street 1:14245 W ROCKLAND RD
Mailing Address - Street 2:14245 WEST ROCKLAND RD
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-9713
Mailing Address - Country:US
Mailing Address - Phone:847-362-4636
Mailing Address - Fax:847-362-0742
Practice Address - Street 1:14245 W ROCKLAND RD
Practice Address - Street 2:14245 WEST ROCKLAND RD
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-9713
Practice Address - Country:US
Practice Address - Phone:847-362-4636
Practice Address - Fax:847-362-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services