Individual provider · Type 1 NPI
Regina M. Bauer
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Breese, IL
Practice location
989 N 5th St
Breese, IL 62230-1329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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.
About NPI 1063986214
Regina M. Bauer's National Provider Identifier is 1063986214, issued on Jan 21, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Breese, IL. The record was last updated on Jan 21, 2019.