location
search-icon
institution
Community Integrated Living, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anna, Illinois
NPI 1265711600

Community Integrated Living, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Anna, IL. Community Integrated Living, Inc. practices in Anna, IL. The NPI Number for Community Integrated Living, Inc. is 1265711600 and holds a License No. 09M012 (Illinois).

The current practice location address for Community Integrated Living, Inc. is 110 Jeni Lane, Anna, IL and can be reached out via phone at 618-697-1122 and via fax at 618-833-1360.

Location: 110 Jeni Lane, Anna, IL, 62906-3269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265711600
Provider Name
Community Integrated Living, Inc.
Credential
Provider Entity Type
Organization
Address
110 Jeni Lane, Anna, IL, 62906-3269
Phone Number
618-697-1122
Fax Number
618-833-1360
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09M012 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
110 Jeni Lane
City
Anna
State
Illinois
Zip
62906
Phone Number
618-697-1122
Fax Number
618-833-1360
person
Provider Business Mailing Address Details
Address
110 Jeni Lane
City
Anna
State
Illinois
Zip
62906
Phone Number
618-697-1122
Fax Number
618-833-1360
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.
09M012 (Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.