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United Methodist Children's Home Of Southern Illinois Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Mount Vernon, Illinois
NPI 1619146115

United Methodist Children's Home Of Southern Illinois Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mount Vernon, IL. United Methodist Children's Home Of Southern Illinois Inc. practices in Mount Vernon, IL. The NPI Number for United Methodist Children's Home Of Southern Illinois Inc. is 1619146115 and holds a License No. 021068-11 (Illinois).

The current practice location address for United Methodist Children's Home Of Southern Illinois Inc. is 2023 Richview Rd, Mount Vernon, IL and can be reached out via phone at 618-242-1070 and via fax at 618-242-9381.

Location: 2023 Richview Rd, Mount Vernon, IL, 62864-2884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619146115
Provider Name
United Methodist Children's Home Of Southern Illinois Inc.
Credential
Provider Entity Type
Organization
Address
2023 Richview Rd, Mount Vernon, IL, 62864-2884
Phone Number
618-242-1070
Fax Number
618-242-9381
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5000-IPI-09 05 IL
institution
Provider Business Practice Location Address Details
Address
2023 Richview Rd
City
Mount Vernon
State
Illinois
Zip
62864-2884
Phone Number
618-242-1070
Fax Number
618-242-9381
person
Provider Business Mailing Address Details
Address
2023 Richview Rd
City
Mount Vernon
State
Illinois
Zip
62864-2884
Phone Number
618-242-1070
Fax Number
618-242-9381
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
021068-11 (Illinois)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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