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Beverly Farm Living Options
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Godfrey, Illinois
NPI 1659792315

Beverly Farm Living Options is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Godfrey, IL. Beverly Farm Living Options practices in Godfrey, IL. The NPI Number for Beverly Farm Living Options is 1659792315 and holds a License No. 201300002M (Illinois).

The current practice location address for Beverly Farm Living Options is 6301 Humbert Rd, Godfrey, IL and can be reached out via phone at 618-466-0367 and via fax at 618-466-3652.

Location: 6301 Humbert Rd, Godfrey, IL, 62035-2163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659792315
Provider Name
Beverly Farm Living Options
Credential
Provider Entity Type
Organization
Address
6301 Humbert Rd, Godfrey, IL, 62035-2163
Phone Number
618-466-0367
Fax Number
618-466-3652
Provider Enumeration Date
12/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6301 Humbert Rd
City
Godfrey
State
Illinois
Zip
62035-2163
Phone Number
618-466-0367
Fax Number
618-466-3652
person
Provider Business Mailing Address Details
Address
6301 Humbert Rd
City
Godfrey
State
Illinois
Zip
62035-2163
Phone Number
618-466-0367
Fax Number
618-466-3652
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.
201300002M (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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