Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Springfield, IL
NPI number
1356513790
Active
Practice location
2724 Glenwood Ave
Springfield, IL 62704-5010
Fax (217) 523-4605
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 35063 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1356513790
Community Living Options Inc's National Provider Identifier is 1356513790, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Springfield, IL. The record was last updated on Apr 20, 2008.