1346369642 PIASA MANOR

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
PIASA MANOR
Enumeration Date
March 28, 2007
Last Update
August 4, 2008
Authorized Official
MRS. CAROL ANN DODD
QMRP
Phone: (618) 466-9242

Practice Location

Address
110 N ALBY CT
GODFREY, IL 620351963
Phone
(618) 466-9242
Fax
(618) 466-9517

Mailing Address

Address
110 N ALBY CT
GODFREY, IL 620351963
Phone
(618) 466-9242
Fax
(618) 466-9517

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities 0038422 IL Primary

Other Identifiers

Identifier Type State Issuer
371272004 05 IL N/A

Frequently Asked Questions

What is PIASA MANOR's NPI number?
PIASA MANOR's NPI number is 1346369642.
Which doctor has NPI number 1346369642?
The doctor with NPI number 1346369642 is PIASA MANOR.
What is PIASA MANOR's practice address?
PIASA MANOR's practice address is 110 N ALBY CT, GODFREY, IL, 620351963.
Which doctor practices at 110 N ALBY CT, GODFREY, IL, 620351963?
PIASA MANOR practices at 110 N ALBY CT, GODFREY, IL, 620351963.
What is PIASA MANOR's phone number?
PIASA MANOR's phone number is (618) 466-9242.
Who is (618) 466-9242?
(618) 466-9242 is the phone number for PIASA MANOR.
What is PIASA MANOR's specialty?
PIASA MANOR's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is PIASA MANOR?
PIASA MANOR is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is PIASA MANOR a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, PIASA MANOR is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is PIASA MANOR still practicing?
Yes, PIASA MANOR is currently practicing.
Is PIASA MANOR accepting new patients?
PIASA MANOR may be accepting new patients. Please call their office at (618) 466-9242 to inquire about availability.
Is NPI 1346369642 still active?
Yes, NPI 1346369642 is currently active.
Where does PIASA MANOR practice?
PIASA MANOR practices in GODFREY, IL.