# ALVIN EADES CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALVIN EADES CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710432968
- **Legal business name:** ALVIN EADES CENTER INC
- **Authorized official:** MR. BRAD BARNES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (217) 245-9898

## Contact information

- **Practice address:** 905 W SUPERIOR AVE, JACKSONVILLE, IL 62650-3117
- **Practice address phone:** (217) 245-9898
- **Practice address fax:** (217) 243-7966
- **Mailing address:** 905 W SUPERIOR AVE, JACKSONVILLE, IL 62650-3117
- **Mailing address phone:** (217) 245-9898
- **Mailing address fax:** (217) 243-7966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 08/17/2016