Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Effingham, IL
NPI number
1508038951
Active
Practice location
1026 N Merchant Street
Effingham, IL 62401-2125
Fax (217) 342-6687
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 34074 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Effingham
About NPI 1508038951
Community Living Options Inc's National Provider Identifier is 1508038951, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Effingham, IL. The record was last updated on Apr 20, 2008.