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Marys Village Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Belleville, Illinois
NPI 1104560838

Marys Village Foundation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Belleville, IL. Marys Village Foundation practices in Belleville, IL. The NPI Number for Marys Village Foundation is 1104560838 and holds a License No. (Illinois).

The current practice location address for Marys Village Foundation is 3922 N Belt W, Belleville, IL and can be reached out via phone at 618-974-4807. You can also correspond with Marys Village Foundation through the mailing address at 3922 N BELT W, BELLEVILLE, IL - 62226-5608 (mailing address contact number: 618-974-4807).

Location: 3922 N Belt W, Belleville, IL, 62226-5608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104560838
Provider Name
Marys Village Foundation
Credential
Provider Entity Type
Organization
Address
3922 N Belt W, Belleville, IL, 62226-5608
Phone Number
618-974-4807
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3922 N Belt W
City
Belleville
State
Illinois
Zip
62226-5608
Phone Number
618-974-4807
Fax Number
person
Provider Business Mailing Address Details
Address
3922 N Belt W
City
Belleville
State
Illinois
Zip
62226-5608
Phone Number
618-974-4807
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
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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