Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Clinton, IL
NPI number
1407028855
Active
Practice location
1650 E Main St
Clinton, IL 61727-1813
Fax (217) 935-4452
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 33571 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1407028855
Community Living Options Inc's National Provider Identifier is 1407028855, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Clinton, IL. The record was last updated on Apr 20, 2008.