# CLARK-LINDSEY VILLAGE INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLARK-LINDSEY VILLAGE INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033565882
- **Legal business name:** CLARK-LINDSEY VILLAGE INC.
- **Authorized official:** DEBRA REARDANZ ADMINISTRATOR (CEO/PRESIDENT)
- **Authorized official phone:** (217) 344-2144

## Contact information

- **Practice address:** 101 W WINDSOR RD, URBANA, IL 61802-6663
- **Practice address phone:** (217) 344-2144
- **Practice address fax:** (217) 344-9147
- **Mailing address:** 101 W WINDSOR RD, URBANA, IL 61802-6663
- **Mailing address phone:** (217) 344-2144
- **Mailing address fax:** (217) 344-9147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 04/24/2017
