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Skystar Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in De Soto, Illinois
NPI 1396100269

Skystar Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Desoto, IL. Skystar Residential Services practices in De Soto, IL. The NPI Number for Skystar Residential Services is 1396100269 and holds a License No. 099600004S (Illinois).

The current practice location address for Skystar Residential Services is 406 E Douglas St, De Soto, IL and can be reached out via phone at 618-867-3188 and via fax at 618-867-3098.

Location: 406 E Douglas St, De Soto, IL, 62924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396100269
Provider Name
Skystar Residential Services
Credential
Provider Entity Type
Organization
Address
406 E Douglas St, De Soto, IL, 62924
Phone Number
618-867-3188
Fax Number
618-867-3098
Provider Enumeration Date
12/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
406 E Douglas St
City
De Soto
State
Illinois
Zip
62924-1516
Phone Number
618-867-3188
Fax Number
618-867-3098
person
Provider Business Mailing Address Details
Address
406 E Douglas St
City
De Soto
State
Illinois
Zip
62924-1516
Phone Number
618-867-3188
Fax Number
618-867-3098
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.
099600004S (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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