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Supporting Community Independence
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bethalto, Illinois
NPI 1023643772

Supporting Community Independence is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bethalto, IL. Supporting Community Independence practices in Bethalto, IL. The NPI Number for Supporting Community Independence is 1023643772 and holds a License No. (Illinois).

The current practice location address for Supporting Community Independence is 1 Polo Grounds Ct, Bethalto, IL and can be reached out via phone at 618-806-4344.

Location: 1 Polo Grounds Ct, Bethalto, IL, 62010-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023643772
Provider Name
Supporting Community Independence
Credential
Provider Entity Type
Organization
Address
1 Polo Grounds Ct, Bethalto, IL, 62010-2623
Phone Number
618-806-4344
Fax Number
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Polo Grounds Ct
City
Bethalto
State
Illinois
Zip
62010-2623
Phone Number
618-806-4344
Fax Number
person
Provider Business Mailing Address Details
Address
1 Polo Grounds Ct
City
Bethalto
State
Illinois
Zip
62010-2623
Phone Number
618-806-4344
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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