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Illinois Department Of Human Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Centralia, Illinois
NPI 1538203419

Illinois Department Of Human Services is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Centralia, IL. Illinois Department Of Human Services practices in Centralia, IL. The NPI Number for Illinois Department Of Human Services is 1538203419 and holds a License No. 805-8000 (Illinois).

The current practice location address for Illinois Department Of Human Services is 1535 W Mccord St, Centralia, IL and can be reached out via phone at 618-532-1811 and via fax at 618-532-7464.

Location: 1535 W Mccord St, Centralia, IL, 62801-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538203419
Provider Name
Illinois Department Of Human Services
Credential
Provider Entity Type
Organization
Address
1535 W Mccord St, Centralia, IL, 62801-5805
Phone Number
618-532-1811
Fax Number
618-532-7464
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000584062001 05 IL
institution
Provider Business Practice Location Address Details
Address
1535 W Mccord St
City
Centralia
State
Illinois
Zip
62801-5805
Phone Number
618-532-1811
Fax Number
618-532-7464
person
Provider Business Mailing Address Details
Address
1535 W Mccord St
City
Centralia
State
Illinois
Zip
62801-5805
Phone Number
618-532-1811
Fax Number
618-532-7464
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
805-8000 (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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