Organization · Type 2 NPI

Beverly Farm Foundation

Intellectual Disabilities Intermediate Care Facility · Godfrey, IL

NPI number 1265506091 Active

Practice location

308 Bachman Ln
Godfrey, IL 62035-2123

Call (618) 466-0367 Map

Fax (618) 466-3652

Mailing address

6301 Humbert Rd
Godfrey, IL 62035-2163

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0037713 (IL)

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

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About NPI 1265506091

Beverly Farm Foundation's National Provider Identifier is 1265506091, issued on Nov 20, 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.