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Organization

KREIDER SERVICES INC

Active
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Organization

KREIDER SERVICES INC

Active
Other names
Wasson Street Place
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY J STAUTER (EXECUTIVE DIRECTOR)
(815) 288-6691
Entity
Organization

Contact information

Practice address
205 E WASSON RD, AMBOY, IL 61310-1229
(815) 857-2349
Mailing address
PO BOX 366, DIXON, IL 61021-0366
(815) 288-6691
(815) 288-1636

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
40170
IL

Other

Enumeration date
02/02/2010
Last updated
08/23/2016
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