institution
Living In A Family Environment Management Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Makanda, Illinois
NPI 1063503647

Living In A Family Environment Management Corporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Makanda, IL. Living In A Family Environment Management Corporation practices in Makanda, IL. The NPI Number for Living In A Family Environment Management Corporation is 1063503647 and holds a License No. 201300019S (Illinois).

The current practice location address for Living In A Family Environment Management Corporation is 3136 Myers Ln, Makanda, IL and can be reached out via phone at 618-967-7106 and via fax at 618-549-8163.

Location: 3136 Myers Ln, Makanda, IL, 62958-5200
institution
Provider Profile Details
NPI Number
1063503647
Provider Name
Living In A Family Environment Management Corporation
Credential
Provider Entity Type
Organization
Address
3136 Myers Ln, Makanda, IL, 62958-5200
Phone Number
618-967-7106
Fax Number
618-549-8163
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
201300019S 05 IL
institution
Provider Business Practice Location Address Details
Address
3136 Myers Ln
City
State
Zip
62958-5200
Phone Number
618-967-7106
Fax Number
618-549-8163
person
Provider Business Mailing Address Details
Address
3136 Myers Ln
City
State
Zip
62958-5200
Phone Number
618-967-7106
Fax Number
618-549-8163
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.
201300019S (Illinois)
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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