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Southern Illinois Living Centers Inc.
Intellectual Disabilities Intermediate Care Facility in New Baden, Illinois
NPI 1639487408

Southern Illinois Living Centers Inc. is a Intellectual Disabilities Intermediate Care Facility based in New Baden, IL. Southern Illinois Living Centers Inc. practices in New Baden, IL. The NPI Number for Southern Illinois Living Centers Inc. is 1639487408 and holds a License No. 0033159 (Illinois).

The current practice location address for Southern Illinois Living Centers Inc. is 111 E Illinois St, New Baden, IL and can be reached out via phone at 618-588-2066 and via fax at 618-588-4673. You can also correspond with Southern Illinois Living Centers Inc. through the mailing address at 300 E ILLINOIS ST, NEW BADEN, IL - 62265-1822 (mailing address contact number: 618-588-2066).

Location: 111 E Illinois St, New Baden, IL, 62265-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639487408
Provider Name
Southern Illinois Living Centers Inc.
Credential
Provider Entity Type
Organization
Address
111 E Illinois St, New Baden, IL, 62265-1822
Phone Number
618-588-2066
Fax Number
618-588-4673
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371224393003 05 IL
institution
Provider Business Practice Location Address Details
Address
111 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1850
Phone Number
618-588-2066
Fax Number
618-588-4673
person
Provider Business Mailing Address Details
Address
111 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1850
Phone Number
618-588-2066
Fax Number
618-588-4673
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0033159 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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