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Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility in Wood River, Illinois
NPI 1164694501

Community Living Options Inc is a Intellectual Disabilities Intermediate Care Facility based in Galesburg, IL. Community Living Options Inc practices in Wood River, IL. The NPI Number for Community Living Options Inc is 1164694501 and holds a License No. 39703 (Illinois).

The current practice location address for Community Living Options Inc is 460 Pershing, Wood River, IL and can be reached out via phone at 618-258-1616 and via fax at 618-258-1641.

Location: 460 Pershing, Wood River, IL, 61401-5323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164694501
Provider Name
Community Living Options Inc
Credential
Provider Entity Type
Organization
Address
460 Pershing, Wood River, IL, 61401-5323
Phone Number
618-258-1616
Fax Number
618-258-1641
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
460 Pershing
City
Wood River
State
Illinois
Zip
62095-1316
Phone Number
618-258-1616
Fax Number
618-258-1641
person
Provider Business Mailing Address Details
Address
460 Pershing
City
Wood River
State
Illinois
Zip
62095-1316
Phone Number
618-258-1616
Fax Number
618-258-1641
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
39703 (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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