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West Grove, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lawrenceville, Illinois
NPI 1124152384

West Grove, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Lawrenceville, IL. West Grove, Inc practices in Lawrenceville, IL. The NPI Number for West Grove, Inc is 1124152384 and holds a License No. 0033548 (Illinois).

The current practice location address for West Grove, Inc is Rr 1 Box 417, Lawrenceville, IL and can be reached out via phone at 618-943-7597 and via fax at 618-943-3218.

Location: Rr 1 Box 417, Lawrenceville, IL, 62439-9796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124152384
Provider Name
West Grove, Inc
Credential
Provider Entity Type
Organization
Address
Rr 1 Box 417, Lawrenceville, IL, 62439-9796
Phone Number
618-943-7597
Fax Number
618-943-3218
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 417
City
Lawrenceville
State
Illinois
Zip
62439-9796
Phone Number
618-943-7597
Fax Number
618-943-3218
person
Provider Business Mailing Address Details
Address
Rr 1 Box 417
City
Lawrenceville
State
Illinois
Zip
62439-9796
Phone Number
618-943-7597
Fax Number
618-943-3218
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
0033548 (Illinois)
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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