Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Pittsfield, IL
NPI number
1184896524
Active
Practice location
408 E Washington Street
Pittsfield, IL 62363-1543
Fax (217) 285-5626
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 33332 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1184896524
Community Living Options Inc's National Provider Identifier is 1184896524, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pittsfield, IL. The record was last updated on Apr 20, 2008.