Organization · Type 2 NPI
The Residential Developers, Inc.
Intellectual Disabilities Intermediate Care Facility · Cissna Park, IL
NPI number
1629196340
Active
Practice location
310 W Enz Ave
Cissna Park, IL 60924-9795
Mailing address
PO Box 6525
Champaign, IL 61826-6525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0035279 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1629196340
The Residential Developers, Inc.'s National Provider Identifier is 1629196340, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Cissna Park, IL. The record was last updated on Aug 22, 2020.