T is a Intellectual Disabilities Intermediate Care Facility based in Mount Vernon, IL. T practices in Fairfield, IL. The NPI Number for T is 1356707350 and holds a License No. (Illinois).
The current practice location address for T is 813 W Center St, Fairfield, IL and can be reached out via phone at 618-842-2260.
Location: 813 W Center St, Fairfield, IL, 62864-0015
Provider Profile Details
NPI Number
1356707350
Provider Name
T
Credential
Provider Entity Type
Organization
Address
813 W Center St, Fairfield, IL, 62864-0015
Phone Number
618-842-2260
Fax Number
Provider Enumeration Date
01/06/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
813 W Center St
City
State
Zip
62837-1403
Phone Number
618-842-2260
Fax Number
Provider Business Mailing Address Details
Address
813 W Center St
City
State
Zip
62837-1403
Phone Number
618-842-2260
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
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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