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Health Care Management Corp
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Flora, Illinois
NPI 1730371188

Health Care Management Corp is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Salem, IL. Health Care Management Corp practices in Flora, IL. The NPI Number for Health Care Management Corp is 1730371188 and holds a License No. 0031831 (Illinois).

The current practice location address for Health Care Management Corp is 403 N State Rd, Flora, IL and can be reached out via phone at 618-662-6440 and via fax at 618-662-4159.

Location: 403 N State Rd, Flora, IL, 62881-5237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730371188
Provider Name
Health Care Management Corp
Credential
Provider Entity Type
Organization
Address
403 N State Rd, Flora, IL, 62881-5237
Phone Number
618-662-6440
Fax Number
618-662-4159
Provider Enumeration Date
08/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201200006M 01 IL DEPARTMENT OF HUMAN SERVICES, PROVISIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
403 N State Rd
City
Flora
State
Illinois
Zip
62839-1519
Phone Number
618-662-6440
Fax Number
618-662-4159
person
Provider Business Mailing Address Details
Address
403 N State Rd
City
Flora
State
Illinois
Zip
62839-1519
Phone Number
618-662-6440
Fax Number
618-662-4159
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
201200006M (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0031831 (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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