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Regina M Bauer
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Breese, Illinois
NPI 1063986214

Regina M Bauer is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Breese, IL. Regina M Bauer practices in Breese, IL. The NPI Number for Regina M Bauer is 1063986214 and holds a License No. (Illinois).

The current practice location address for Regina M Bauer is 989 N 5Th St, Breese, IL and can be reached out via phone at 618-772-3522.

Location: 989 N 5Th St, Breese, IL, 62230-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063986214
Provider Name
Regina M Bauer
Credential
Provider Entity Type
Individual
Gender
Female
Address
989 N 5Th St, Breese, IL, 62230-1329
Phone Number
618-772-3522
Fax Number
Provider Enumeration Date
01/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
989 N 5Th St
City
Breese
State
Illinois
Zip
62230-1329
Phone Number
618-772-3522
Fax Number
person
Provider Business Mailing Address Details
Address
989 N 5Th St
City
Breese
State
Illinois
Zip
62230-1329
Phone Number
618-772-3522
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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