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Ashlee Herbold
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ottawa, Illinois
NPI 1881071272

Ashlee Herbold is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ottawa, IL. Ashlee Herbold practices in Ottawa, IL. The NPI Number for Ashlee Herbold is 1881071272 and holds a License No. (Illinois).

The current practice location address for Ashlee Herbold is 1718 N 2525Th Rd, Ottawa, IL and can be reached out via phone at 815-434-0737.

Location: 1718 N 2525Th Rd, Ottawa, IL, 61350-9329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881071272
Provider Name
Ashlee Herbold
Credential
Provider Entity Type
Individual
Gender
Female
Address
1718 N 2525Th Rd, Ottawa, IL, 61350-9329
Phone Number
815-434-0737
Fax Number
Provider Enumeration Date
05/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1718 N 2525Th Rd
City
Ottawa
State
Illinois
Zip
61350
Phone Number
815-434-0737
Fax Number
person
Provider Business Mailing Address Details
Address
1718 N 2525Th Rd
City
Ottawa
State
Illinois
Zip
61350
Phone Number
815-434-0737
Fax Number
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.
()
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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