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Southern Illinois Community Support Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Baden, Illinois
NPI 1184091167

Southern Illinois Community Support Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New Baden, IL. Southern Illinois Community Support Services practices in New Baden, IL. The NPI Number for Southern Illinois Community Support Services is 1184091167 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Community Support Services is 300 E Illinois St, New Baden, IL and can be reached out via phone at 618-588-7136 and via fax at 618-588-4673.

Location: 300 E Illinois St, New Baden, IL, 62265-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184091167
Provider Name
Southern Illinois Community Support Services
Credential
Provider Entity Type
Organization
Address
300 E Illinois St, New Baden, IL, 62265-1822
Phone Number
618-588-7136
Fax Number
618-588-4673
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1822
Phone Number
618-588-7136
Fax Number
618-588-4673
person
Provider Business Mailing Address Details
Address
300 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1822
Phone Number
618-588-7136
Fax Number
618-588-4673
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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