Organization · Type 2 NPI
Human Support Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterloo, IL
Practice location
217 N Market St
Waterloo, IL 62298-1595
Mailing address
PO Box 146
Waterloo, IL 62298-0146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1821775990
Human Support Services's National Provider Identifier is 1821775990, issued on Jun 30, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waterloo, IL. The record was last updated on Jun 30, 2023.