person
Audra Marie Stance, BA,MPA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peoria, Illinois
NPI 1023688850

Audra Marie Stance is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stockton, IL. Audra Marie Stance practices in Peoria, IL and has the professional credentials of BA,MPA. The NPI Number for Audra Marie Stance is 1023688850 and holds a License No. (Illinois).

The current practice location address for Audra Marie Stance is 2310 W Starr St, Peoria, IL and can be reached out via phone at 510-563-9785.

Location: 2310 W Starr St, Peoria, IL, 95204-0792
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Provider Profile Details
NPI Number
1023688850
Provider Name
Audra Marie Stance
Credential
BA,MPA
Provider Entity Type
Individual
Gender
Female
Address
2310 W Starr St, Peoria, IL, 95204-0792
Phone Number
510-563-9785
Fax Number
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2310 W Starr St
City
State
Zip
61605-3240
Phone Number
510-563-9785
Fax Number
person
Provider Business Mailing Address Details
Address
2310 W Starr St
City
State
Zip
61605-3240
Phone Number
510-563-9785
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
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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