Provider Demographics
NPI:1649983040
Name:ECUMENICAL SUPPORT SERVICES FOR THE ELDERLY ESSE CENTER
Entity type:Organization
Organization Name:ECUMENICAL SUPPORT SERVICES FOR THE ELDERLY ESSE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
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 1:41 N PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5713
Mailing Address - Country:US
Mailing Address - Phone:630-260-3773
Mailing Address - Fax:630-260-8046
Practice Address - Street 1:27 S EDGELAWN DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4301
Practice Address - Country:US
Practice Address - Phone:630-791-9319
Practice Address - Fax:630-260-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care