Organization · Type 2 NPI

Illinois Department of Human Services

Intellectual Disabilities Intermediate Care Facility · Kankakee, IL

NPI number 1821136821 Active

Practice location

100 E Jeffery St
Kankakee, IL 60901-5018

Call (815) 939-8201 Map

Fax (815) 939-8266

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1821136821

Illinois Department of Human Services's National Provider Identifier is 1821136821, issued on Feb 2, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Kankakee, IL. The record was last updated on Dec 22, 2016.