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
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0033159 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
6 other providers at this address
- Southern Illinois Living Centers Inc.Skilled Nursing Facility New Baden, IL NPI 1174518278
- Amy Boeckmann, PTAPhysical Therapy Assistant New Baden, IL NPI 1972793784
- Hannah Isbell, PTAPhysical Therapy Assistant New Baden, IL NPI 1669143194
- Jessa Kate SpringerPhysical Therapy Assistant New Baden, IL NPI 1669139614
- Megan Deerhake, OTR/LOccupational Therapist New Baden, IL NPI 1811241516
- Zachary Stephen Carmichael, M.S. CF-SLPSpeech-Language Pathologist New Baden, IL NPI 1962149989
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.