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Kathryn Elaine Miller Rose
Developmentally Disabled Services Day Training Agency in Mahomet, Illinois
NPI 1316478878

Kathryn Elaine Miller Rose is a Developmentally Disabled Services Day Training Agency based in Mahomet, IL. Kathryn Elaine Miller Rose practices in Mahomet, IL. The NPI Number for Kathryn Elaine Miller Rose is 1316478878 and holds a License No. (Illinois).

The current practice location address for Kathryn Elaine Miller Rose is 1207 Lakeside Ln, Mahomet, IL and can be reached out via phone at 217-840-5455.

Location: 1207 Lakeside Ln, Mahomet, IL, 61853-9767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316478878
Provider Name
Kathryn Elaine Miller Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
1207 Lakeside Ln, Mahomet, IL, 61853-9767
Phone Number
217-840-5455
Fax Number
Provider Enumeration Date
03/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070.005074 01 IL STATE PT LICENCE
institution
Provider Business Practice Location Address Details
Address
1207 Lakeside Ln
City
Mahomet
State
Illinois
Zip
61853-9767
Phone Number
217-840-5455
Fax Number
person
Provider Business Mailing Address Details
Address
1207 Lakeside Ln
City
Mahomet
State
Illinois
Zip
61853-9767
Phone Number
217-840-5455
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
(Illinois)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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