Organization · Type 2 NPI
Lutheran Social Services of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dixon, IL
Practice location
314 S Ottawa Ave
Dixon, IL 61021-3150
Fax (815) 288-2934
Mailing address
1001 E Touhy Ave, Suite 170
Des Plaines, IL 60018-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 926169 (IL) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1669645040
Lutheran Social Services of Illinois's National Provider Identifier is 1669645040, issued on Apr 8, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dixon, IL. The record was last updated on Apr 8, 2008.