institution
Illinois Department Of Human Services
Intellectual Disabilities Intermediate Care Facility in Dixon, Illinois
NPI 1376525204

Illinois Department Of Human Services is a Intellectual Disabilities Intermediate Care Facility based in Dixon, IL. Illinois Department Of Human Services practices in Dixon, IL. The NPI Number for Illinois Department Of Human Services is 1376525204 and holds a License No. 830600 (Illinois).

The current practice location address for Illinois Department Of Human Services is 1120 Washington Ave, Dixon, IL and can be reached out via phone at 815-288-8301 and via fax at 815-288-8398.

Location: 1120 Washington Ave, Dixon, IL, 61021-1258
institution
Provider Profile Details
NPI Number
1376525204
Provider Name
Illinois Department Of Human Services
Credential
Provider Entity Type
Organization
Address
1120 Washington Ave, Dixon, IL, 61021-1258
Phone Number
815-288-8301
Fax Number
815-288-8398
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1120 Washington Ave
City
State
Zip
61021-1258
Phone Number
815-288-8301
Fax Number
815-288-8398
person
Provider Business Mailing Address Details
Address
1120 Washington Ave
City
State
Zip
61021-1258
Phone Number
815-288-8301
Fax Number
815-288-8398
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
830600 (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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