Organization · Type 2 NPI

Human Support Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterloo, IL

NPI number 1003593179 Active

Practice location

224 N Main St Rear
Waterloo, IL 62298-1264

Mailing address

PO Box 146
Waterloo, IL 62298-0146

Specialties and licenses

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1003593179

Human Support Services's National Provider Identifier is 1003593179, issued on Jun 30, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waterloo, IL. The record was last updated on Jun 30, 2023.