Organization · Type 2 NPI

Illinois Department of Human Services

Intellectual Disabilities Intermediate Care Facility · Dwight, IL

NPI number 1265584155 Active

Practice location

134 W Main St
Dwight, IL 60420-1322

Call (815) 584-3347 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed

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

11 other providers at this address

About NPI 1265584155

Illinois Department of Human Services's National Provider Identifier is 1265584155, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Dwight, IL. The record was last updated on Dec 22, 2016.