1003960394 ILLINOIS DEPARTMENT OF HUMAN SERVICES
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- ILLINOIS DEPARTMENT OF HUMAN SERVICES
- Enumeration Date
- January 23, 2007
- Last Update
- December 22, 2016
- Authorized Official
- DEBRA MUHLSTADT
FISCAL ADMINISTRATOR, SODC OPERATIO
Phone: (815) 288-8335
Practice Location
- Address
- 1535 W MCCORD ST
CENTRALIA, IL 628015805 - Phone
- (618) 532-1811
Mailing Address
- Address
- 1535 W MCCORD ST
CENTRALIA, IL 628015805 - Phone
- (618) 532-1811
- Fax
- (618) 532-7464
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 | 805-8000 | IL | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-G053 | 05 | IL | N/A |
Frequently Asked Questions
What is ILLINOIS DEPARTMENT OF HUMAN SERVICES's NPI number?
ILLINOIS DEPARTMENT OF HUMAN SERVICES's NPI number is 1003960394.
Which doctor has NPI number 1003960394?
The doctor with NPI number 1003960394 is ILLINOIS DEPARTMENT OF HUMAN SERVICES.
What is ILLINOIS DEPARTMENT OF HUMAN SERVICES's practice address?
ILLINOIS DEPARTMENT OF HUMAN SERVICES's practice address is 1535 W MCCORD ST, CENTRALIA, IL, 628015805.
Which doctor practices at 1535 W MCCORD ST, CENTRALIA, IL, 628015805?
ILLINOIS DEPARTMENT OF HUMAN SERVICES practices at 1535 W MCCORD ST, CENTRALIA, IL, 628015805.
What is ILLINOIS DEPARTMENT OF HUMAN SERVICES's phone number?
ILLINOIS DEPARTMENT OF HUMAN SERVICES's phone number is (618) 532-1811.
Who is (618) 532-1811?
(618) 532-1811 is the phone number for ILLINOIS DEPARTMENT OF HUMAN SERVICES.
What is ILLINOIS DEPARTMENT OF HUMAN SERVICES's specialty?
ILLINOIS DEPARTMENT OF HUMAN SERVICES's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is ILLINOIS DEPARTMENT OF HUMAN SERVICES?
ILLINOIS DEPARTMENT OF HUMAN SERVICES is a Intellectual Disabilities Intermediate Care Facility.
Is ILLINOIS DEPARTMENT OF HUMAN SERVICES a Intermediate Care Facility, Intellectual Disabilities?
Yes, ILLINOIS DEPARTMENT OF HUMAN SERVICES is a Intermediate Care Facility, Intellectual Disabilities.
Is ILLINOIS DEPARTMENT OF HUMAN SERVICES still practicing?
Yes, ILLINOIS DEPARTMENT OF HUMAN SERVICES is currently practicing.
Is ILLINOIS DEPARTMENT OF HUMAN SERVICES accepting new patients?
ILLINOIS DEPARTMENT OF HUMAN SERVICES may be accepting new patients. Please call their office at (618) 532-1811 to inquire about availability.
Is NPI 1003960394 still active?
Yes, NPI 1003960394 is currently active.
Where does ILLINOIS DEPARTMENT OF HUMAN SERVICES practice?
ILLINOIS DEPARTMENT OF HUMAN SERVICES practices in CENTRALIA, IL.