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Beverly Farm Foundation
Intellectual Disabilities Intermediate Care Facility in Godfrey, Illinois
NPI 1093880700

Beverly Farm Foundation is a Intellectual Disabilities Intermediate Care Facility based in Godfrey, IL. Beverly Farm Foundation practices in Godfrey, IL. The NPI Number for Beverly Farm Foundation is 1093880700 and holds a License No. 0036939 (Illinois).

The current practice location address for Beverly Farm Foundation is 224 Bachman Ln, Godfrey, IL and can be reached out via phone at 618-466-0367 and via fax at 618-466-3652.

Location: 224 Bachman Ln, Godfrey, IL, 62035-2163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093880700
Provider Name
Beverly Farm Foundation
Credential
Provider Entity Type
Organization
Address
224 Bachman Ln, Godfrey, IL, 62035-2163
Phone Number
618-466-0367
Fax Number
618-466-3652
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
224 Bachman Ln
City
Godfrey
State
Illinois
Zip
62035-2122
Phone Number
618-466-0367
Fax Number
618-466-3652
person
Provider Business Mailing Address Details
Address
224 Bachman Ln
City
Godfrey
State
Illinois
Zip
62035-2122
Phone Number
618-466-0367
Fax Number
618-466-3652
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0036939 (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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