Organization · Type 2 NPI
Penta Nascent Corporation
Intellectual Disabilities Intermediate Care Facility · Centralia, IL
NPI number
1508086810
Active
Practice location
332 Country Club Rd
Centralia, IL 62801-3742
Mailing address
PO Box 1690
Centralia, IL 62801-9124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0038646 (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 Centralia
- Illinois Department of Human ServicesIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1003960394
- Penta Nascent CorporationIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1467670190
- Penta Nascent CorporationIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1881814192
- Penta Group Inc.Intellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1932246071
About NPI 1508086810
Penta Nascent Corporation's National Provider Identifier is 1508086810, issued on Apr 27, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Centralia, IL. The record was last updated on Aug 22, 2020.