Organization · Type 2 NPI
Home and Environments for Living and Programs
Intellectual Disabilities Intermediate Care Facility · Lebanon, IL
NPI number
1962658120
Active
Practice location
221 E 3rd St
Lebanon, IL 62254-1668
Fax (618) 537-4156
Mailing address
40 Adloff Ln Ste 5
Springfield, IL 62703-4496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0038430 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1962658120
Home and Environments for Living and Programs's National Provider Identifier is 1962658120, issued on Aug 7, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lebanon, IL. The record was last updated on Aug 7, 2008.