1104958966 UNIT 4464 CYPRESS HALL UPPER

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
UNIT 4464 CYPRESS HALL UPPER
Enumeration Date
March 9, 2007
Last Update
August 22, 2020
Authorized Official
BRUCE BROWN
REIMBURSEMENT OFFICER II
Phone: (618) 833-5161

Practice Location

Address
1000 N MAIN ST
ANNA, IL 629061652
Phone
(618) 833-5161

Mailing Address

Address
1000 N MAIN ST
ANNA, IL 629061652
Phone
(618) 833-5161

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 N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
14G045 05 IL N/A

Frequently Asked Questions

What is UNIT 4464 CYPRESS HALL UPPER's NPI number?
UNIT 4464 CYPRESS HALL UPPER's NPI number is 1104958966.
Which doctor has NPI number 1104958966?
The doctor with NPI number 1104958966 is UNIT 4464 CYPRESS HALL UPPER.
What is UNIT 4464 CYPRESS HALL UPPER's practice address?
UNIT 4464 CYPRESS HALL UPPER's practice address is 1000 N MAIN ST, ANNA, IL, 629061652.
Which doctor practices at 1000 N MAIN ST, ANNA, IL, 629061652?
UNIT 4464 CYPRESS HALL UPPER practices at 1000 N MAIN ST, ANNA, IL, 629061652.
What is UNIT 4464 CYPRESS HALL UPPER's phone number?
UNIT 4464 CYPRESS HALL UPPER's phone number is (618) 833-5161.
Who is (618) 833-5161?
(618) 833-5161 is the phone number for UNIT 4464 CYPRESS HALL UPPER.
What is UNIT 4464 CYPRESS HALL UPPER's specialty?
UNIT 4464 CYPRESS HALL UPPER's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is UNIT 4464 CYPRESS HALL UPPER?
UNIT 4464 CYPRESS HALL UPPER is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is UNIT 4464 CYPRESS HALL UPPER a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, UNIT 4464 CYPRESS HALL UPPER is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is UNIT 4464 CYPRESS HALL UPPER still practicing?
Yes, UNIT 4464 CYPRESS HALL UPPER is currently practicing.
Is UNIT 4464 CYPRESS HALL UPPER accepting new patients?
UNIT 4464 CYPRESS HALL UPPER may be accepting new patients. Please call their office at (618) 833-5161 to inquire about availability.
Is NPI 1104958966 still active?
Yes, NPI 1104958966 is currently active.
Where does UNIT 4464 CYPRESS HALL UPPER practice?
UNIT 4464 CYPRESS HALL UPPER practices in ANNA, IL.