Organization · Type 2 NPI
Alvin Eades Center, Inc.
Intellectual Disabilities Intermediate Care Facility · Jacksonville, IL
NPI number
1609045897
Active
Practice location
1000A W Michigan Ave
Jacksonville, IL 62650-3117
Fax (217) 243-7966
Mailing address
905 W Superior Ave
Jacksonville, IL 62650-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0040220 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1609045897
Alvin Eades Center, Inc.'s National Provider Identifier is 1609045897, issued on Feb 21, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Jacksonville, IL. The record was last updated on Aug 24, 2016.