Organization · Type 2 NPI

Joe Jac Corp.

Intellectual Disabilities Intermediate Care Facility · Decatur, IL

NPI number 1285857284 Active

Practice location

5310 E William Street Rd
Decatur, IL 62521-1874

Call (217) 422-6361 Map

Fax (217) 422-6365

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0045955 (IL)

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

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About NPI 1285857284

Joe Jac Corp.'s National Provider Identifier is 1285857284, issued on Apr 10, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Decatur, IL. The record was last updated on Jun 18, 2008.