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Organization

CLAY COUNTY REHABILITATION CENTER, INC.

Active
Other names
Flora Opportunity Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY WHITEHEAD (EXECUTIVE DIRECTOR)
(618) 662-4916
Entity
Organization

Contact information

Practice address
530 W 4TH ST, FLORA, IL 62839-1213
(618) 662-4916
(618) 662-9354
Mailing address
530 W 4TH ST, P.O. BOX 659, FLORA, IL 62839-1213
(618) 662-4916
(618) 662-9354

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0371
DAY TRAINING AGENCY ID
IL
Enumeration date
05/02/2007
Last updated
08/22/2020
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