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Willowglen Academy-il
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Freeport, Illinois
NPI 1386848299

Willowglen Academy-il is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Freeport, IL. Willowglen Academy-il practices in Freeport, IL. The NPI Number for Willowglen Academy-il is 1386848299 and holds a License No. 411197-03 (Illinois).

The current practice location address for Willowglen Academy-il is 3111 W Kunkle Blvd, Freeport, IL and can be reached out via phone at 815-233-0406.

Location: 3111 W Kunkle Blvd, Freeport, IL, 61032-9630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386848299
Provider Name
Willowglen Academy-il
Credential
Provider Entity Type
Organization
Address
3111 W Kunkle Blvd, Freeport, IL, 61032-9630
Phone Number
815-233-0406
Fax Number
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3111 W Kunkle Blvd
City
Freeport
State
Illinois
Zip
61032-6922
Phone Number
815-233-0406
Fax Number
person
Provider Business Mailing Address Details
Address
3111 W Kunkle Blvd
City
Freeport
State
Illinois
Zip
61032-6922
Phone Number
815-233-0406
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
411197-03 (Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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