Organization · Type 2 NPI

Community Residential Centers Inc

Intellectual Disabilities Intermediate Care Facility · Galesburg, IL

NPI number 1114140373 Active

Practice location

239 S Cherry Street
Galesburg, IL 61401

Call (309) 343-4101 Map

Fax (309) 343-4106

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X003406 (IL)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1114140373

Community Residential Centers Inc's National Provider Identifier is 1114140373, issued on Apr 10, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Galesburg, IL. The record was last updated on Aug 22, 2020.