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Amie Hoffman Clarke
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilmington, Illinois
NPI 1164704748

Amie Hoffman Clarke is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Coal City, IL. Amie Hoffman Clarke practices in Wilmington, IL. The NPI Number for Amie Hoffman Clarke is 1164704748 and holds a License No. (Illinois).

The current practice location address for Amie Hoffman Clarke is 1197 S Buchanan St, Wilmington, IL and can be reached out via phone at 815-476-5405 and via fax at 815-476-7361.

Location: 1197 S Buchanan St, Wilmington, IL, 60416-1628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164704748
Provider Name
Amie Hoffman Clarke
Credential
Provider Entity Type
Individual
Gender
Female
Address
1197 S Buchanan St, Wilmington, IL, 60416-1628
Phone Number
815-476-5405
Fax Number
815-476-7361
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1197 S Buchanan St
City
Wilmington
State
Illinois
Zip
60481-1616
Phone Number
815-476-5405
Fax Number
815-476-7361
person
Provider Business Mailing Address Details
Address
1197 S Buchanan St
City
Wilmington
State
Illinois
Zip
60481-1616
Phone Number
815-476-5405
Fax Number
815-476-7361
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.
()
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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