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Unit 4464 Cypress Hall Upper
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anna, Illinois
NPI 1104958966

Unit 4464 Cypress Hall Upper is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Anna, IL. Unit 4464 Cypress Hall Upper practices in Anna, IL. The NPI Number for Unit 4464 Cypress Hall Upper is 1104958966 and holds a License No. (Illinois).

The current practice location address for Unit 4464 Cypress Hall Upper is 1000 N Main St, Anna, IL and can be reached out via phone at 618-833-5161.

Location: 1000 N Main St, Anna, IL, 62906-1652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104958966
Provider Name
Unit 4464 Cypress Hall Upper
Credential
Provider Entity Type
Organization
Address
1000 N Main St, Anna, IL, 62906-1652
Phone Number
618-833-5161
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14G045 05 IL
institution
Provider Business Practice Location Address Details
Address
1000 N Main St
City
Anna
State
Illinois
Zip
62906-1652
Phone Number
618-833-5161
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Main St
City
Anna
State
Illinois
Zip
62906-1652
Phone Number
618-833-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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