Organization · Type 2 NPI

Penta Group Inc.

Intellectual Disabilities Intermediate Care Facility · Centralia, IL

NPI number 1932246071 Active

Practice location

2150 E Mccord St
Centralia, IL 62801-6730

Call (618) 918-3770 Map

Mailing address

PO Box 687
Centralia, IL 62801-9111

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0033373 (IL)

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

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About NPI 1932246071

Penta Group Inc.'s National Provider Identifier is 1932246071, issued on Jan 30, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Centralia, IL. The record was last updated on Oct 18, 2010.