Organization · Type 2 NPI

Mulberry Manor, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Anna, IL

NPI number 1164646550 Active

Practice location

612 E Davie
Anna, IL 62906-0088

Mailing address

PO Box 88
Anna, IL 62906-0088

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

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About NPI 1164646550

Mulberry Manor, Inc.'s National Provider Identifier is 1164646550, issued on Apr 13, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Anna, IL. The record was last updated on Aug 22, 2020.