Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Effingham, IL
NPI number
1710159645
Active
Practice location
1101 S Third Street
Effingham, IL 62401-4022
Fax (217) 347-0126
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 34041 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Effingham
About NPI 1710159645
Community Living Options Inc's National Provider Identifier is 1710159645, issued on Apr 1, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Effingham, IL. The record was last updated on Apr 20, 2008.