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Organization
HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Active
Organization
HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Active
Other names
Adloff Place
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE A BROOKSHIRE (ADMINISTRATOR)
(217) 529-9632
Entity
Organization
Contact information
Practice address
50 ADLOFF LN, SPRINGFIELD, IL 62703-4402
(217) 786-3109
(217) 786-3784
Mailing address
40 ADLOFF LN STE 5, SPRINGFIELD, IL 62703-4496
(217) 529-9632
(217) 529-9635
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1870187
IL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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