Organization · Type 2 NPI

Southern Illinois Living Centers Inc.

Intellectual Disabilities Intermediate Care Facility · New Baden, IL

NPI number 1639487408 Active

Practice location

111 E Illinois St
New Baden, IL 62265-1850

Fax (618) 588-4673

Mailing address

300 E Illinois St
New Baden, IL 62265-1822

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0033159 (IL)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

6 other providers at this address

About NPI 1639487408

Southern Illinois Living Centers Inc.'s National Provider Identifier is 1639487408, issued on Sep 15, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in New Baden, IL. The record was last updated on Sep 15, 2010.