Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Wood River, IL
NPI number
1295907327
Active
Practice location
95 N Main
Wood River, IL 62095-1415
Fax (618) 254-6620
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 39099 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Wood River
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- Community Living Options IncIntellectual Disabilities Intermediate Care Facility Wood River, IL NPI 1922270057
About NPI 1295907327
Community Living Options Inc's National Provider Identifier is 1295907327, issued on Mar 28, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wood River, IL. The record was last updated on Apr 20, 2008.