Organization · Type 2 NPI
Department of Human Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jacksonville, IL
Practice location
1201 S Main St
Jacksonville, IL 62650-3339
Fax (217) 245-1165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
3 other providers at this address
- Bushnell Dix Hill Jones 694110Intellectual and/or Developmental Disabilities Residential Treatment Facility Jacksonville, IL NPI 1154465243
- Gillespie 694140Intellectual and/or Developmental Disabilities Residential Treatment Facility Jacksonville, IL NPI 1881738979
- Wayne E. Petereit, LPTPhysical Therapist Jacksonville, IL NPI 1376753335
Other intellectual and/or developmental disabilities residential treatment facility providers in Jacksonville
About NPI 1659441285
Department of Human Services's National Provider Identifier is 1659441285, issued on Nov 9, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Jacksonville, IL. The record was last updated on Aug 22, 2020.