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Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Murray Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VEACH (CENTER DIRECTOR)
(618) 532-1811
Entity
Organization
Contact information
Practice address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1811
(618) 532-7464
Mailing address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1811
(618) 532-7464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
805-8000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000584061001
—
IL
Enumeration date
02/20/2007
Last updated
06/20/2008
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