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Joe Jac Corp.
Intellectual Disabilities Intermediate Care Facility in Decatur, Illinois
NPI 1285857284

Joe Jac Corp. is a Intellectual Disabilities Intermediate Care Facility based in Decatur, IL. Joe Jac Corp. practices in Decatur, IL. The NPI Number for Joe Jac Corp. is 1285857284 and holds a License No. 0045955 (Illinois).

The current practice location address for Joe Jac Corp. is 5310 E William Street Rd, Decatur, IL and can be reached out via phone at 217-422-6361 and via fax at 217-422-6365. You can also correspond with Joe Jac Corp. through the mailing address at 5310 E WILLIAM STREET RD, DECATUR, IL - 62521-1874 (mailing address contact number: 217-422-6361).

Location: 5310 E William Street Rd, Decatur, IL, 62521-1874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285857284
Provider Name
Joe Jac Corp.
Credential
Provider Entity Type
Organization
Address
5310 E William Street Rd, Decatur, IL, 62521-1874
Phone Number
217-422-6361
Fax Number
217-422-6365
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6012314 05 IL
institution
Provider Business Practice Location Address Details
Address
5310 E William Street Rd
City
Decatur
State
Illinois
Zip
62521-1874
Phone Number
217-422-6361
Fax Number
217-422-6365
person
Provider Business Mailing Address Details
Address
5310 E William Street Rd
City
Decatur
State
Illinois
Zip
62521-1874
Phone Number
217-422-6361
Fax Number
217-422-6365
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0045955 (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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