Organization · Type 2 NPI

T

Intellectual Disabilities Intermediate Care Facility · Fairfield, IL

NPI number 1356707350 Active

Practice location

813 W Center St
Fairfield, IL 62837-1403

Call (618) 842-2260 Map

Mailing address

PO Box 705
Mount Vernon, IL 62864-0015

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

2 other providers at this address

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About NPI 1356707350

T's National Provider Identifier is 1356707350, issued on Jan 6, 2016. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fairfield, IL. The record was last updated on Jan 6, 2016.