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Organization
WARREN ACHIEVEMENT CENTER INC
Active
Organization
WARREN ACHIEVEMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A LEWIS (PRESIDENT)
(309) 734-3131
Entity
Organization
Contact information
Practice address
1220 EAST SECOND AVENUE, MONMOUTH, IL 61462
(309) 734-3131
(309) 734-7114
Mailing address
1220 EAST SECOND AVENUE, MONMOUTH, IL 61462
(309) 734-3131
(309) 734-7114
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
01-005-939
IL
347C00000X
Private Vehicle
01-005-939
IL
Other
Enumeration date
02/20/2007
Last updated
04/16/2008
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