Organization · Type 2 NPI
Skystar Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · De Soto, IL
Practice location
406 E Douglas St
De Soto, IL 62924-1516
Fax (618) 867-3098
Mailing address
406 East Douglas
Desoto, IL 62924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 099600004S (IL) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1396100269
Skystar Residential Services's National Provider Identifier is 1396100269, issued on Dec 21, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in De Soto, IL. The record was last updated on Dec 21, 2015.