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Piasa Manor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Godfrey, Illinois
NPI 1346369642

Piasa Manor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Godfrey, IL. Piasa Manor practices in Godfrey, IL. The NPI Number for Piasa Manor is 1346369642 and holds a License No. 0038422 (Illinois).

The current practice location address for Piasa Manor is 110 N Alby Ct, Godfrey, IL and can be reached out via phone at 618-466-9242 and via fax at 618-466-9517.

Location: 110 N Alby Ct, Godfrey, IL, 62035-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346369642
Provider Name
Piasa Manor
Credential
Provider Entity Type
Organization
Address
110 N Alby Ct, Godfrey, IL, 62035-1963
Phone Number
618-466-9242
Fax Number
618-466-9517
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371272004 05 IL
institution
Provider Business Practice Location Address Details
Address
110 N Alby Ct
City
Godfrey
State
Illinois
Zip
62035-1963
Phone Number
618-466-9242
Fax Number
618-466-9517
person
Provider Business Mailing Address Details
Address
110 N Alby Ct
City
Godfrey
State
Illinois
Zip
62035-1963
Phone Number
618-466-9242
Fax Number
618-466-9517
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
0038422 (Illinois)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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