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Community Living Options Inc
Intellectual Disabilities Intermediate Care Facility in Jacksonville, Illinois
NPI 1912179045

Community Living Options Inc is a Intellectual Disabilities Intermediate Care Facility based in Galesburg, IL. Community Living Options Inc practices in Jacksonville, IL. The NPI Number for Community Living Options Inc is 1912179045 and holds a License No. 35774 (Illinois).

The current practice location address for Community Living Options Inc is 324 E Douglas Street, Jacksonville, IL and can be reached out via phone at 217-245-0818 and via fax at 217-245-0822.

Location: 324 E Douglas Street, Jacksonville, IL, 61401-5323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912179045
Provider Name
Community Living Options Inc
Credential
Provider Entity Type
Organization
Address
324 E Douglas Street, Jacksonville, IL, 61401-5323
Phone Number
217-245-0818
Fax Number
217-245-0822
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
324 E Douglas Street
City
Jacksonville
State
Illinois
Zip
62650-2047
Phone Number
217-245-0818
Fax Number
217-245-0822
person
Provider Business Mailing Address Details
Address
324 E Douglas Street
City
Jacksonville
State
Illinois
Zip
62650-2047
Phone Number
217-245-0818
Fax Number
217-245-0822
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
35774 (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.
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