Organization · Type 2 NPI

Comwell

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

NPI number 1023220241 Active

Practice location

101 Melmar Circle
Sparta, IL 62286-1135

Fax (618) 443-6044

Mailing address

10257 State Route 3
Red Bud, IL 62278-4418

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 1023220241

Comwell's National Provider Identifier is 1023220241, issued on May 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sparta, IL. The record was last updated on Feb 3, 2021.