Organization · Type 2 NPI
Illinois Veterans Home at Anna
Physical Disabilities Residential Treatment Facility · Anna, IL
NPI number
1326105636
Active
Practice location
792 N Main St
Anna, IL 62906-1627
Fax (618) 833-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 0046599 (IL) |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 0046599 (IL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
4 other providers at this address
- Carol Kenny, MS, CCC-SLPSpeech-Language Pathologist Anna, IL NPI 1053798074
- Kaleigh Ella Deneal, MS, CCC-SLPSpeech-Language Pathologist Anna, IL NPI 1316582703
- Karly Mae WilliardSpeech-Language Pathologist Anna, IL NPI 1497497499
- Lonzie Tripple, MS, CCC-SLPSpeech-Language Pathologist Anna, IL NPI 1780069443
About NPI 1326105636
Illinois Veterans Home at Anna's National Provider Identifier is 1326105636, issued on Jan 3, 2007. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Anna, IL. The record was last updated on Feb 8, 2012.