Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Alton, IL
NPI number
1760654115
Active
Practice location
4029 Aberdeen Street
Alton, IL 62002-3127
Fax (618) 462-7747
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 39081 (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 Alton
About NPI 1760654115
Community Living Options Inc's National Provider Identifier is 1760654115, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Alton, IL. The record was last updated on Apr 20, 2008.