Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Freeburg, IL
NPI number
1205008653
Active
Practice location
#4 Hill Mine Road
Freeburg, IL 62243-3225
Fax (618) 539-4895
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 36582 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1205008653
Community Living Options Inc's National Provider Identifier is 1205008653, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Freeburg, IL. The record was last updated on Apr 20, 2008.