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Community Residential Centers Inc
Intellectual Disabilities Intermediate Care Facility in Galesburg, Illinois
NPI 1043482979

Community Residential Centers Inc is a Intellectual Disabilities Intermediate Care Facility based in Galesburg, IL. Community Residential Centers Inc practices in Galesburg, IL. The NPI Number for Community Residential Centers Inc is 1043482979 and holds a License No. 34066 (Illinois).

The current practice location address for Community Residential Centers Inc is 239 South Cherry Street, Galesburg, IL and can be reached out via phone at 309-343-4101 and via fax at 309-343-4118.

Location: 239 South Cherry Street, Galesburg, IL, 61401-5323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043482979
Provider Name
Community Residential Centers Inc
Credential
Provider Entity Type
Organization
Address
239 South Cherry Street, Galesburg, IL, 61401-5323
Phone Number
309-343-4101
Fax Number
309-343-4118
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
239 South Cherry Street
City
Galesburg
State
Illinois
Zip
61401-4911
Phone Number
309-343-4101
Fax Number
309-343-4118
person
Provider Business Mailing Address Details
Address
239 South Cherry Street
City
Galesburg
State
Illinois
Zip
61401-4911
Phone Number
309-343-4101
Fax Number
309-343-4118
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
34066 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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