Organization · Type 2 NPI
Lebanon Terrace
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lebanon, IL
Practice location
221 E 3rd St
Lebanon, IL 62254-1668
Fax (618) 537-4156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 0038430 (IL) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1104945716
Lebanon Terrace's National Provider Identifier is 1104945716, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lebanon, IL. The record was last updated on Aug 22, 2020.