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Lutheran Social Services Of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Beardstown, Illinois
NPI 1740453125

Lutheran Social Services Of Illinois is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Des Plaines, IL. Lutheran Social Services Of Illinois practices in Beardstown, IL. The NPI Number for Lutheran Social Services Of Illinois is 1740453125 and holds a License No. 926169 (Illinois).

The current practice location address for Lutheran Social Services Of Illinois is 612 Washington St, Beardstown, IL and can be reached out via phone at 217-323-5367 and via fax at 217-323-4559.

Location: 612 Washington St, Beardstown, IL, 60018-5801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740453125
Provider Name
Lutheran Social Services Of Illinois
Credential
Provider Entity Type
Organization
Address
612 Washington St, Beardstown, IL, 60018-5801
Phone Number
217-323-5367
Fax Number
217-323-4559
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926129 01 IL DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
612 Washington St
City
Beardstown
State
Illinois
Zip
62618-1541
Phone Number
217-323-5367
Fax Number
217-323-4559
person
Provider Business Mailing Address Details
Address
612 Washington St
City
Beardstown
State
Illinois
Zip
62618-1541
Phone Number
217-323-5367
Fax Number
217-323-4559
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.
926169 (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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