Organization · Type 2 NPI

Beverly Farm Foundation

Intellectual Disabilities Intermediate Care Facility · Godfrey, IL

NPI number 1174696157 Active

Practice location

6301 Humbert Rd
Godfrey, IL 62035-2163

Call (618) 466-0367 Map

Fax (618) 466-3652

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0038604 (IL)

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

6 other providers at this address

Other intellectual disabilities intermediate care facility providers in Godfrey

See all in Godfrey →

About NPI 1174696157

Beverly Farm Foundation's National Provider Identifier is 1174696157, issued on Nov 16, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Godfrey, IL. The record was last updated on Aug 25, 2016.