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Colonial Manor, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Zeigler, Illinois
NPI 1619291820

Colonial Manor, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Zeigler, IL. Colonial Manor, Inc practices in Zeigler, IL. The NPI Number for Colonial Manor, Inc is 1619291820 and holds a License No. 0044610 (Illinois).

The current practice location address for Colonial Manor, Inc is 300 Church St, Zeigler, IL and can be reached out via phone at 618-596-6635 and via fax at 618-984-7734.

Location: 300 Church St, Zeigler, IL, 62999-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619291820
Provider Name
Colonial Manor, Inc
Credential
Provider Entity Type
Organization
Address
300 Church St, Zeigler, IL, 62999-1043
Phone Number
618-596-6635
Fax Number
618-984-7734
Provider Enumeration Date
03/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Church St
City
Zeigler
State
Illinois
Zip
62999-1043
Phone Number
618-596-6635
Fax Number
618-984-7734
person
Provider Business Mailing Address Details
Address
300 Church St
City
Zeigler
State
Illinois
Zip
62999-1043
Phone Number
618-596-6635
Fax Number
618-984-7734
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
0044610 (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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