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Broadstep Academy-illinois Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Freeport, Illinois
NPI 1164626305

Broadstep Academy-illinois Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Freeport, IL. Broadstep Academy-illinois Inc practices in Freeport, IL. The NPI Number for Broadstep Academy-illinois Inc is 1164626305 and holds a License No. 410526-03 (Illinois).

The current practice location address for Broadstep Academy-illinois Inc is 321 N Whistler Ave, Freeport, IL and can be reached out via phone at 815-599-0636.

Location: 321 N Whistler Ave, Freeport, IL, 61032-9630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164626305
Provider Name
Broadstep Academy-illinois Inc
Credential
Provider Entity Type
Organization
Address
321 N Whistler Ave, Freeport, IL, 61032-9630
Phone Number
815-599-0636
Fax Number
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
321 N Whistler Ave
City
Freeport
State
Illinois
Zip
61032-3958
Phone Number
815-599-0636
Fax Number
person
Provider Business Mailing Address Details
Address
321 N Whistler Ave
City
Freeport
State
Illinois
Zip
61032-3958
Phone Number
815-599-0636
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.
410526-03 (Illinois)
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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