Organization · Type 2 NPI
Good Shepherd Manor, Inc
Developmentally Disabled Services Day Training Agency · Momence, IL
Practice location
4129 N State Routes 1 & 17
Momence, IL 60954-0260
Fax (815) 472-6086
Mailing address
PO Box 260, 4129 N State Routes 1 & 17
Momence, IL 60954-0260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency Primary | 251C00000X | 6-374 (IL) |
| Adult Care Home Facility | 311ZA0620X | 0002865 (IL) |
Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…
Another provider at this address
About NPI 1700100971
Good Shepherd Manor, Inc's National Provider Identifier is 1700100971, issued on Mar 17, 2010. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Momence, IL. The record was last updated on Mar 17, 2010.