Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Springfield, IL
NPI number
1457523383
Active
Practice location
2883 Taylor Ave
Springfield, IL 62703-4323
Fax (217) 585-9353
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 37531 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1457523383
Community Living Options Inc's National Provider Identifier is 1457523383, issued on Apr 1, 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.