Organization · Type 2 NPI
Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility · Galesburg, IL
NPI number
1811169741
Active
Practice location
2182 Windish Drive
Galesburg, IL 61401-9775
Fax (309) 344-2752
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 31088 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1811169741
Community Living Options Inc's National Provider Identifier is 1811169741, issued on Apr 1, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Galesburg, IL. The record was last updated on Apr 20, 2008.