Organization
KREIDER SERVICES INC
Active
Other names
First Street Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY J STAUTER (EXECUTIVE DIRECTOR)
(815) 288-6691
Entity
Organization
Contact information
Practice address
407 N 1ST ST, ASHTON, IL 61006-9476
(815) 453-2074
Mailing address
PO BOX 366, DIXON, IL 61021-0366
(815) 288-6691
(815) 288-1636
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
41152
IL
Other
Enumeration date
02/02/2010
Last updated
08/19/2014
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