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Five Star Industries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Du Quoin, Illinois
NPI 1790136414

Five Star Industries, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Du Quoin, IL. Five Star Industries, Inc. practices in Du Quoin, IL. The NPI Number for Five Star Industries, Inc. is 1790136414 and holds a License No. (Illinois).

The current practice location address for Five Star Industries, Inc. is 1308 Wells Street Rd, Du Quoin, IL and can be reached out via phone at 618-542-5421 and via fax at 618-790-9147.

Location: 1308 Wells Street Rd, Du Quoin, IL, 62832-0060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790136414
Provider Name
Five Star Industries, Inc.
Credential
Provider Entity Type
Organization
Address
1308 Wells Street Rd, Du Quoin, IL, 62832-0060
Phone Number
618-542-5421
Fax Number
618-790-9147
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1308 Wells Street Rd
City
Du Quoin
State
Illinois
Zip
62832-4171
Phone Number
618-542-5421
Fax Number
618-790-9147
person
Provider Business Mailing Address Details
Address
1308 Wells Street Rd
City
Du Quoin
State
Illinois
Zip
62832-4171
Phone Number
618-542-5421
Fax Number
618-790-9147
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
199100056S (Illinois)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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.
(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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