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Pioneer Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Grove, Illinois
NPI 1902252075

Pioneer Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Poplar Grove, IL. Pioneer Center practices in Poplar Grove, IL. The NPI Number for Pioneer Center is 1902252075 and holds a License No. (Illinois).

The current practice location address for Pioneer Center is 310 Constitution Drive Sowth West, Poplar Grove, IL and can be reached out via phone at 815-800-1196.

Location: 310 Constitution Drive Sowth West, Poplar Grove, IL, 61065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902252075
Provider Name
Pioneer Center
Credential
Provider Entity Type
Organization
Address
310 Constitution Drive Sowth West, Poplar Grove, IL, 61065
Phone Number
815-800-1196
Fax Number
Provider Enumeration Date
05/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 Constitution Drive Sowth West
City
Poplar Grove
State
Illinois
Zip
61065
Phone Number
815-800-1196
Fax Number
person
Provider Business Mailing Address Details
Address
310 Constitution Drive Sowth West
City
Poplar Grove
State
Illinois
Zip
61065
Phone Number
815-800-1196
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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