Organization · Type 2 NPI
Pioneer Concepts Inc
Intellectual Disabilities Intermediate Care Facility · Lynwood, IL
NPI number
1316110539
Active
Practice location
2317 East 207th Street
Lynwood, IL 60411-1536
Fax (708) 758-1821
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 43273 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1316110539
Pioneer Concepts Inc's National Provider Identifier is 1316110539, issued on Apr 9, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lynwood, IL. The record was last updated on Apr 20, 2008.